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Titolo:
Early neurobehavioral disorders after cardiac surgery: A comparative analysis of coronary artery bypass graft surgery and valve replacement
Autore:
Ebert, AD; Walzer, TA; Huth, C; Herrmann, M;
Indirizzi:
Univ Magdeburg, Div Neuropsychol & Behav Neurol, D-39120 Magdeburg, Germany Univ Magdeburg Magdeburg Germany D-39120 rol, D-39120 Magdeburg, Germany Univ Magdeburg, Dept Thorac & Cardiovasc Surg, D-39120 Magdeburg, Germany Univ Magdeburg Magdeburg Germany D-39120 urg, D-39120 Magdeburg, Germany Univ TEaching Hosp Lahr, Dept Internal Med, Lahr, Germany Univ TEaching Hosp Lahr Lahr Germany , Dept Internal Med, Lahr, Germany Hanse Inst Adv Study, Delmenhorst Bremen, Germany Hanse Inst Adv Study Delmenhorst Bremen Germany enhorst Bremen, Germany
Titolo Testata:
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
fascicolo: 1, volume: 15, anno: 2001,
pagine: 15 - 19
SICI:
1053-0770(200102)15:1<15:ENDACS>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPEN-HEART SURGERY; MINI-MENTAL-STATE; CARDIOPULMONARY BYPASS; NEUROLOGICAL COMPLICATIONS; CEREBRAL-DYSFUNCTION; DAMAGE; VULNERABILITY; HIPPOCAMPAL; ASSOCIATION; PREDICTION;
Keywords:
valve replacement; coronary artery bypass graft surgery; neuropsychology; neuropsychiatry; risk factor;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Herrmann, M Univ Magdeburg, Div Neuropsychol & Behav Neurol, Leipziger Str44, D-39120Magdeburg, Germany Univ Magdeburg Leipziger Str 44 Magdeburg Germany D-39120 any
Citazione:
A.D. Ebert et al., "Early neurobehavioral disorders after cardiac surgery: A comparative analysis of coronary artery bypass graft surgery and valve replacement", J CARDIOTHO, 15(1), 2001, pp. 15-19

Abstract

Objective: To analyze neurobehavioral disorders in the early postoperativeperiod after valve replacement and coronary artery bypass graft (CABG) surgery. Design: Prospective study. Setting: University hospital. Participants: Patients undergoing elective cardiac surgery with cardiopulmonary bypass; 42 patients in the valve replacement surgery group and 42 patients in the CABG surgery group, with both groups matched post hoc for age,sex, and preoperative cognitive status. Measurements and Main Results: All subjects were investigated preoperatively as well as 2 and 7 days postoperatively with a comprehensive neuropsychologic and neuropsychiatric assessment. The groups did not significantly differ with respect to the incidence of postoperative neuropsychiatric disorders. Valve replacement surgery patients exhibited more severe neuropsychologic deficits and showed a slower recovery than patients who underwent CABG surgery. In both groups, postoperative neuropsychologic alterations were most marked in fluency, arithmetic, and memory performance. Conclusion:These results indicate that patients after valve replacement surgery have a higher risk of postoperative neuropsychologic alterations mainly attributable to temporal lobe dysfunction. This finding corresponds to aspecific vulnerability of hippocampal structures to transient hypoxia. Copyright (C) 2001 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/01/20 alle ore 12:23:32