Abstract
Since the beginning of heart surgery (about 30 years ago) neurological and psychiatric complications have been mentioned. During the past decade serious complications have decreased considerably, thanks to great improvements in surgical equipment and techniques. Mortality rates have steadily fallen: in recent years fatal cerebral damage of 0.3 – 2% has been found [1]. In many subsequent studies neurological morbidity has been recognized using different methods of assessment. Despite the many improvements there is still little reason for complacency. Extracorporeal circulation (ECC) still implies a risk for cerebral functioning. Incidence of cerebral damage has been estimated at many different percentages depending on its classification and the criteria that are used. The classification may vary from fatal cerebral damage to mild cognitive changes.
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References
P. J. Shaw, Neurological complications of cardiovascular surgery: II. Procedures involving the heart and thoracic aorta, in: “Neurological and Psychological Complications of Surgery and Anesthesia,” B. J. Hindman, ed., Little, Brown and Company, Boston (1986).
K. N. Taylor, Brain damage during open heart surgery. Thorax37: 873 (1982).
A. G. Hill, R. C. Groom, R. P. Vinansky, et al. Gaseaous microemboli and extracorporeal circulation, Proceed Am Acad Cardiovasc Perfusion. 7: 131 (1986).
L. Marshall, Filtration in cardiopulmonary bypass: past, present and future. Perfusion, 3: 135 (1988).
K. A. Sotaniemi, Brain damage and neurological outcome after open heart surgery, J. Neurosurg Psychiatry. 43:127 (1988).
A. V. Govier, J. G. Reves, Cerebral blood flow: autoregulation during cardiopulmonary bypass, in: “Brain Injury and Protection During Heart Surgery,” M. Hilberman, ed., Martinus Nijhoff Publishing, Boston, Dordrecht, Lancaster (1988).
R. C. Groom, A. G. Hill, R. P. Vinansky, et al. Hollow fiber membrane and bubble oxygenation: A comparison of psychometric test results. Proceed Am Acad Cardiovasc Perfusion. 6: 70 (1985).
R. Kolkka, M. Hilberman, Neurologic dysfunction following cardiac operation with low-flow, low-pressure cardiopulmonary bypass, J Thoracic Cardiovas Surg. 79: 432 (1980).
K. J. Fish, Microembolization: etiology and prevention, in: “Brain Injury and Protection During Heart Surgery,” M. Hilberman, ed., Martinus Nijhoff Publishing, Boston, Dordrecht, Lancaster (1988).
N. A. Nussmeyer, C. Arlund, S. Slogoff, Neuropsychiatry complications after cardiopulmonary bypass: Cerebral protection by a barbiturate. Anesthesiology. 64: 165 (1986).
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© 1990 Plenum Press, New York
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van Foreest, M. (1990). Neuropsychological Functioning Following Cardiopulmonary Bypass. In: Willner, A.E., Rodewald, G. (eds) Impact of Cardiac Surgery on the Quality of Life. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0647-4_23
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DOI: https://doi.org/10.1007/978-1-4613-0647-4_23
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-7908-2
Online ISBN: 978-1-4613-0647-4
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