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Cardiac Surgery and Magnetic Resonance Imaging of the Brain
Arch Neurol. 2002;59:1074-1076.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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CORONARY ARTERY bypass grafting (CABG) is one of the most common major
surgical procedures performed in the United States, resulting in the relief
of angina and an improved quality of life. With improvements in surgical and
cardiopulmonary bypass techniques, the rates of mortality and cardiac morbidity
have decreased with time, and neurologic complications now represent one of
the greatest challenges to the procedure. Several forms of cerebral injury
or dysfunction may occur after CABG. Clinically recognized cerebral infarction
occurs in 2% to 6% of patients1-3
and is presumably due to macroemboli arising from the cardiac chambers or
cardiopulmonary bypass circuit or from atheromatous debris within the aortic
arch. A shower of small embolic particles combined with decreased washout
from cerebral hypoperfusion can produce a clustering of ischemic lesions in
a watershed distribution.4 Postoperative encephalopathy
or delirium occurs in a larger proportion of patients than cerebral infarction
and is often transient. . . . [Full Text of this Article]
RELATED ARTICLE
Brain Damage After Coronary Artery Bypass Grafting
Martin Bendszus, Wilko Reents, Dorothea Franke, Wolfgang Müllges, Jörg Babin-Ebell, Martin Koltzenburg, Monika Warmuth-Metz, and Laszlo Solymosi
Arch Neurol. 2002;59(7):1090-1095.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Cognitive Outcomes Three Years After Coronary Artery Bypass Surgery: Relation to Diffusion-Weighted Magnetic Resonance Imaging
Knipp et al.
Ann. Thorac. Surg. 2008;85:872-879.
ABSTRACT
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