Aortic atheroma is related to outcome but not numbers of emboli during coronary bypass

作者: Denise Barbut , Yi-Wen Lo , Gregg S. Hartman , Fun-Sun F. Yao , Rosario R. Trifiletti

DOI: 10.1016/S0003-4975(97)00523-7

关键词: SurgeryAortaVascular diseaseAtheromaDerivationArteryStrokeInternal medicineAortic archMedicineCardiologyAortic Segment

摘要: Background. The relation between aortic atheroma severity and stroke after coronary artery bypass grafting is established. other outcome measures or numbers of emboli has not been determined. Methods. Using transesophageal echocardiography, we determined the in ascending, arch, descending segments 84 patients undergoing operations. Seventy were monitored using transcranial Doppler ultrasonography. Results. incidence was 33.3% among 9 with mobile plaque arch 2.7% 74 nonmobile ( p = 0.011). Cardiac complications significantly related to any segment. Length stay 0.025) segment 0.024). presence severe both associated longer hospital stays as compared neither 0.05). Numbers greater at clamp placement, although differences did achieve statistical significance. Conclusions. Aortic duration hospitalization grafting. lack correlation suggests that many may be nonatheromatous nature.

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