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Neurologische und psychiatrische Komplikationen nach Herzoperationen

Neurological and psychiatric complications after heart operation

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Summary

In 63 patients undergoing heart operations with extracorporeal circulation (47 males, 16 females, mean age 54 years; coronary artery bypass in 38 cases, valvular surgery in the rest) postoperative neurological and psychiatric complications were evaluated. 18 patients (29%) had no complications, whereas 35 patients (56%) showed minor or transient neurological symptoms, and 9 patients (14%) exhibited severe symptoms. Nine of the patients had slight psychiatric disturbances (affective disturbances, desorientation). No correlation was found between risk factors (age, nicotine abuse, hypertension, hypercholesteremia, neurologic and cardiac history), intraoperative parameters (duration of extracorporeal bypass, aortic clamp time, deviation of mean arterial pressure), postoperative parameters (internal complications) and the complication rate. Therefore no predisposing factors could be identified.

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Abbreviations

EKK:

extrakorporaler Kreislauf

NYHA:

New York Heart Association

HLM:

Herzhmgenmaschine

EKZ:

Dauer des Extrakorporalkreislaufes

AKZ:

Aortenklemmzeit

MAP:

mittlerer arterieller Druck

ZVD:

zentraler Venendruck

ICU:

Intensive Care Unit

SHT:

Schädel-Hirntrauma

ZNS:

zentrales Nervensystem

IE:

internationale Einheit

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Authors and Affiliations

  1. Neurologische Universitätsklinik, Universität Wien, Österreich

    S. Asenbaum, J. Zeitlhofer & L. Deecke

  2. Universitätsklinik für Anaesthesie und Intensivmedizin, Universität Wien, Österreich

    Ch. Spiss

  3. II. Chirurgische Universitätsklinik, Universität Wien, Österreich

    E. Wolner

Authors
  1. S. Asenbaum
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  2. J. Zeitlhofer
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  3. Ch. Spiss
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  4. E. Wolner
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  5. L. Deecke
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Asenbaum, S., Zeitlhofer, J., Spiss, C. et al. Neurologische und psychiatrische Komplikationen nach Herzoperationen. Klin Wochenschr 69, 368–373 (1991). https://doi.org/10.1007/BF02115787

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  • DOI: https://doi.org/10.1007/BF02115787

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