PMID: 9647076Jul 1, 1998Paper

Posterior distribution of infarcts in strokes related to cardiac operations

The Annals of Thoracic Surgery
D BarbutO W Isom

Abstract

Stroke complicates cardiac surgical procedures in a substantial number of patients. The mechanism of stroke is predominantly embolic, although hypoperfusion may play a role. The aim of this study was to determine whether radiologic appearances in this population were consistent with an embolic cause. We reviewed computed tomographic scans and medical records in 24 patients who suffered stroke after cardiac operation. Stroke was evident at 24 hours in 19 patients (79%). Infarcts were multiple in 16 and single in 3 patients (group 1). The remaining 5 patients suffered stroke beyond 24 hours and had single infarcts on computed tomographic scan (group 2). In group 1, 15 patients (79%) had bilateral cerebellar infarcts, 4 (74%) had posterior cerebral artery infarcts, 10 (53%) had posterior watershed infarcts, and 11 patients (58%) had middle cerebral artery branch infarcts. The mean number of vascular territories involved was 5.1 (range, 1 to 10). Mobile atheromatous plaque was present in the ascending aorta or arch in 5 of 9 patients (56%) in group 1. In group 2, stroke occurred in close association with atrial or ventricular fibrillation in 3 of 5 patients (60%). In patients with radiologic evidence of infarction, perioperative st...Continue Reading

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Citations

Feb 24, 2001·The Annals of Thoracic Surgery·G S Weinstein
Jul 5, 2003·The Annals of Thoracic Surgery·Jeffrey D LeeCollin R Dang
Jul 22, 2011·Stroke Research and Treatment·Elena Z GolukhovaAlexey V Begachev
Jul 21, 2015·The Annals of Thoracic Surgery·Damien J LaParGorav Ailawadi
Oct 18, 2001·The Annals of Thoracic Surgery·N ShiiyaK Yasuda
Dec 17, 2003·Acta Anaesthesiologica Scandinavica·J Ahonen, M Salmenperä
Jul 15, 2015·General Thoracic and Cardiovascular Surgery·Keiji Oi, Hirokuni Arai
Mar 31, 2015·The Journal of Thoracic and Cardiovascular Surgery·Khalil MasabniJoseph F Sabik
Dec 15, 2010·Journal of Vascular Surgery·Yuebing LiHerbert W M Plokker
Sep 30, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Y Li, J Castaldo
May 7, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Mar 15, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R Naylor, M J Bown
Sep 1, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D BaiouA R Naylor
Sep 1, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Nov 5, 2005·Scandinavian Cardiovascular Journal : SCJ·Magnus HedbergKarl G Engström
Nov 28, 2019·Current Treatment Options in Cardiovascular Medicine·Dilip Kumar JayaramanRichard P Goddeau
Dec 6, 2001·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·P D Raymond, N A Marsh
Jul 16, 2020·Journal of Cardiac Surgery·Shuhei NishijimaNobuyuki Kato
Jul 30, 2020·The Journal of International Medical Research·Brandie D WagnerA Laurie W Shroyer
Feb 18, 2005·European Heart Journal·Christian LundDavid Russell
Jul 6, 2019·Annals of Vascular Diseases·Shuhei MiuraYoshihiko Kurimoto
Jul 1, 2021·Neuroradiology·Elena MerliAndrea Zini

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