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Stroke in Coronary Bypass Surgery

Published online by Cambridge University Press:  18 September 2015

W.R. Wayne Martin*
Affiliation:
Division of Neurology, The University of British Columbia and The Vancouver General Hospital, Vancouver, British Columbia
Stanley A. Hashimoto
Affiliation:
Division of Neurology, The University of British Columbia and The Vancouver General Hospital, Vancouver, British Columbia
*
Division of Radiation Sciences, Washington University School of Medicine, 510 South Kingshighway, St. Louis, Missouri 63110, U.S.A.
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Abstract:

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A retrospective review of 253 patients who underwent coronary bypass surgery was performed. Eight (3.2%) had suffered a stroke either intra-operatively (4) or during the early post-operative period (4). A comparison of pre-operative and intra-operative variables between the stroke group and the stroke-free group showed a significant difference only for the hemoglobin level (p < 0.01). All intraoperative strokes occurred in patients who had undergone femoral cannulation; it is suggested that this may have been a source of embolic material in these patients. An embolic origin for most of the strokes (both intra-operative and post-operative) is postulated on the basis of clinical and pathological findings.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1982

References

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