Cerebrovascular Complications after Coronary Bypass Surgery / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 869-875, 2000.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-57639
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Cerebrovascular accidents after coronary bypass surgery(CBS) are serious and responsible about 10% for postoperative mortality. Recently, the rate of cerebrovascular complication after CBS has increased with increasing number of the operations for high risk patients with old age, hypertension, diabetics and etc. This study was intended to identify the risk factors of cerebrovascular accident after CBS by reviewing the medical records of the patients who underwent CBS. MATERIALS ANDMETHOD:
We reviewed the medical records and statistically analyzed the data of 185 patients who underwent CBS between March 1991 and July 1999.RESULT:
The rate of cerebrovascular complication was 7.5%(14 patients) of which there were 5 deaths. Total number of postoperative death was 11 during the same period, and 45.5% of postoperative deaths were associated with cerebrovascular complication. Postoperative arrhythmia(p=0.0064), history of previous CVA(p=0.0090), bypass time(p= 0.0181), atherosclerosis of aorta(p=0.03575) and diabetics(p=0.0452) were statistically related with the development of postoperative cerebrovascular complication. Two patients underwent carotid endarterectomy concomitantly with CBS, neither of them developed cerebrovascular complications. The 3 patients over 75 years did not develop cerebrovascular complication after CBS.CONCLUSION:
Risk factors associated with the development of postoperative cerebrovascular complication after CBS were postoperative arrhythmia, history of previous stroke, bypass time, atherosclerosis of aorta and diabetics.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Arterial Hypertension
/
Cardiovascular Disease
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Cerebrovascular Disease
/
Other circulatory Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Arrhythmias, Cardiac
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Postoperative Complications
/
Cerebrovascular Disorders
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Medical Records
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Coronary Artery Bypass
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Risk Factors
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Mortality
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Endarterectomy, Carotid
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Stroke
Type of study:
Etiology study
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Prognostic study
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Risk factors
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2000
Document type:
Article