RESUMEN
There are known clinical and laboratory prediction of stroke and death following CABG. The aim of this study is to determine if TTE finding prior to CABG have an additional predictive rule for occurrence of perioerative cerberovascular accident and death. The file of patient who underwent CABG between 2006 and 2007 with perioperative echocardiography assessment were reviewed. Echocardiographic variables examined including LV size, function, and wall thickness, mitral annulus calcification [MAC], aortic valve calcification [AVC]. Patient in whom post CABG stroke or death was documented were compared with those without these end points. Of 572 patient who met the study criteria, 33 [5.8%] had a neurological event and 26 [4.5%] died, four after a major stroke. 167 patient had MAC and 228 had AVC On multivariate analysis, risk factors for stroke were previotis stroke, renal failure and older age, risk factors for death were perioperative insertion of intra-aortic balloon pump and peripheral vascular disease. Medically treated dyslipidemia were protective factor. LV hvpertrophy significantly predicts stroke post- CABG by univarient analysis. There was no significant correlation between AVC and MAC with stroke although death was slightly increased in patient with MAC