Cerebral Damage Before and After Cardiac Surgery

  • Allen E. Willner

Part of the Developments in Critical Care Medicine and Anesthesiology book series (DCCA, volume 27)

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Causes of pre- and post-operative cerebral damage

    1. Front Matter
      Pages 1-1
    2. Peter L. C. Smith, Stanton P. Newman
      Pages 69-81
    3. G. Rodewald, B. Dahme, Th. Emskötter, P. Götze, L. Lachenmeyer, U. Lamparter et al.
      Pages 83-98
  3. Techniques for assessing cerebral damage

    1. Front Matter
      Pages 99-99
    2. E. H. J. F. Boezeman, J. A. Leusink, F. E. E. Vermeulen
      Pages 113-126
    3. Robert J. Chabot, E. Roy John, Leslie S. Prichep, Pierre M. Landau, Wayne O. Isom, Laverne D. Gugino
      Pages 163-181
  4. Psychological damage

  5. Psychopathology

    1. Front Matter
      Pages 217-217
    2. P. Götze, B. Dahme, G. Huse-Kleinstoll, H.-J. Meffert
      Pages 219-237
    3. K. A. Sotaniemi
      Pages 255-263
  6. Back Matter
    Pages 265-270

About this book


Despite numerous reports of cerebral damage in cardiac surgery, the subject has not been given the attention it requires. This book, with a preface by Torkel Aberg, will remedy that situation.
The causes and incidence of pre- and post-operative cerebral damage are considered in the first section. Cardiac surgery patients frequently have preoperative cerebral impairment, not suprising when one considers the impaired circulation from a damaged heart and the brain's prodigious need for blood. Moreover, several perioperative aspects of surgical procedures have been considered as possible causes of cerebral dysfunction, for example: microbubbles, toxic by-products, non-pulsatile blood flow.
The second section describes how imaging techniques (CT scan, MRI, regional cerebral blood flow imaging), and functional assessment techniques. (PET scan, EEG, BEAM and evoked potentials) can be used to measure cerebral damage.
In the third section, psychometric and neuropsychological techniques are used to assess impaired mental abilities (abstract thinking, language, memory, visuo-spatial ability, mental flexibility, attention and concentration).
The final section explores the relationship between cerebral dysfunction and psychopathology (several types of depression, anxiety, and aspects of organic brain syndrome, delirium and dementia).


PET Surgery brain cardiac surgery circulation complications dementia depression electroencephalography (EEG) heart magnetic resonance imaging (MRI) positron emission tomography (PET)

Editors and affiliations

  • Allen E. Willner
    • 1
    • 2
  1. 1.Department of PsychologyLong Island Jewish Medical CenterNew Hyde ParkUSA
  2. 2.Albert Einstein College of MedicineGlen OaksUSA

Bibliographic information

  • DOI
  • Copyright Information Kluwer Academic Publishers 1993
  • Publisher Name Springer, Dordrecht
  • eBook Packages Springer Book Archive
  • Print ISBN 978-94-010-4818-7
  • Online ISBN 978-94-011-1852-1
  • Series Print ISSN 0924-5294
  • Buy this book on publisher's site