Stroke, Vol 17, 410-416, Copyright © 1986 by American Heart Association
KA Sotaniemi, H Mononen and TE Hokkanen
A prospective 5 years' neuropsychological, neurological, cardiological and
electroencephalographical follow-up study was carried out in 44 patients
who had undergone open-heart surgery for valve replacement. A distinct
interrelationship was found between the clinical outcome immediately after
operation and the neuropsychological long-term course despite the rapid
recovery of occasional clinical disorders related to operative procedures.
In fact, the psychometric performance scores of those who did not develop
clinical signs of cerebral dysfunction induced in operation showed a
significant difference only years after operation. Similarly, the harmful
effects of long perfusion time (extracorporeal circulation) in operation
were reflected in the long- term neuropsychological performance. Some
evidence seemed to suggest that the correction of the prolonged circulatory
disorder might possibly afford real enhancement of higher cerebral
functions. The long- term results not only emphasize the importance of a
careful clinical evaluation but also emphasize the necessity of considering
the subclinical level of events both before and after operation when
assessing the overall outcome and cerebral safety of cardiac surgery
patients.
ARTICLES
Long-term cerebral outcome after open-heart surgery. A five-year neuropsychological follow-up study
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