Neurological monitoring and off-pump surgery in a very high-risk stroke patient.
case_report · Level V
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- Record sourced from PubMed, PMID 16305918.
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Abstract
Stroke remains a high risk of coronary artery bypass grafting. We present a patient with progressively symptomatic coronary disease and severe four-vessel cerebrovascular disease not amenable to revascularization. This patient underwent coronary revascularization without neurologic complication using off-pump coronary surgery to avoid aortic manipulation and intraoperative electroencephalographic monitoring of cerebral perfusion. This management strategy may reduce the stroke risk in similar patients.
Medical subject headings
- Coronary Artery Bypass, Off-Pump
- Stroke