Aortic atherosclerosis and postoperative neurological dysfunction in elderly coronary surgical patients

Gotō, Tomoko; Baba, Tomoko; Matsuyama, Koshi; Honma, Keiko; Ura, Masashi; Koshiji, Takaaki

doi:10.1016/s0003-4975(03)00029-8

Cited by 62 publications

(46 citation statements)

References 23 publications

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“…Moreover, atherosclerosis of the ascending aorta has been demonstrated to be a risk factor for postoperative stroke after cardiac surgery [1][2][3]. Information from epiaortic ultrasound of the ascending aorta has a significant effect on surgical decision making in cardiac surgical patients and might improve postoperative neurological outcomes [22].…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of postoperative stroke after CABG is multifactorial, and preoperative atherosclerotic risk factors, such as advanced age and atherosclerosis of the ascending aorta are risk factors for stroke after CABG [1][2][3]. A history of prior stroke has been also reported to be a risk factor for neurological complication after CABG [4].…”

Section: Introductionmentioning

confidence: 99%

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Postoperative neurological complications and risk factors for pre-existing silent brain infarction in elderly patients undergoing coronary artery bypass grafting

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postoperative neurological complications and risk factors for pre-existing silent brain infarction in elderly patients undergoing coronary artery bypass grafting

et al. 2012

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“…Our methods for patient evaluation have been published previously [10]. Briefl y, all patients underwent preoperative magnetic resonance imaging and angiography (MRI; MRA) to assess cerebral ischemic changes (grade, 0-3), carotid artery stenosis (grade, 0-3), and cerebral arterial stenosis (grade, 0-3).…”

Section: Patient Managementmentioning

confidence: 99%

Early neuropsychological dysfunction in elderly high-risk patients after on-pump and off-pump coronary bypass surgery

et al. 2007

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“…[1][2][3][4] The purpose of this study was to determine the role of proximal thoracic aortic atheroma (ascending aorta and aortic arch) in predicting cerebral embolic events and new ischemic brain infarcts in patients undergoing CABG surgery.…”

mentioning

confidence: 99%

Mild to Moderate Atheromatous Disease of the Thoracic Aorta and New Ischemic Brain Lesions After Conventional Coronary Artery Bypass Graft Surgery

Djaiani,

Fedorko,

Borger

et al. 2004

Stroke

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Background and Purpose-The presence of new ischemic brain infarcts, detected by diffusion-weighted magnetic resonance imaging (DW-MRI), have been reported in considerable number of patients after cardiac surgery. We sought to determine the role of proximal thoracic aortic atheroma in predicting embolic events and new ischemic brain lesions in patients undergoing conventional coronary revascularization surgery. Methods-Transesophageal echocardiography and epiaortic scanning was performed to assess the severity of aortic atherosclerosis in the ascending aorta and the aortic arch. Patients were allocated to either low-risk group, (intimal thickness Յ2mm), or high-risk group (intimal thickness Ͼ2mm). Transcranial Doppler was used to monitor the middle cerebral artery. DW-MRI was performed 3-7 days after surgery. The NEECHAM Confusion Scale was used for assessment and monitoring patient consciousness level. Results-Patients in the high-risk group were considerably older; 71Ϯ6 (nϭ38) versus 67Ϯ6 (nϭ72)

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Aortic atherosclerosis and postoperative neurological dysfunction in elderly coronary surgical patients

Cited by 62 publications

References 23 publications

Postoperative neurological complications and risk factors for pre-existing silent brain infarction in elderly patients undergoing coronary artery bypass grafting

Postoperative neurological complications and risk factors for pre-existing silent brain infarction in elderly patients undergoing coronary artery bypass grafting

Early neuropsychological dysfunction in elderly high-risk patients after on-pump and off-pump coronary bypass surgery

Mild to Moderate Atheromatous Disease of the Thoracic Aorta and New Ischemic Brain Lesions After Conventional Coronary Artery Bypass Graft Surgery

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