Brain function monitoring during off-pump cardiac surgery: a case report

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Publication Type Journal Article
School or College School of Medicine
Department Neurology
Creator Agarwal, Nivedita
Other Author Zanatta, Paolo; Bosco, Enrico; Di Pasquale, Piero; Valfre, Carol; Sorbara, Carlo
Title Brain function monitoring during off-pump cardiac surgery: a case report
Date 2008
Description Background: Early postoperative stroke is an adverse syndrome after coronary bypass surgery. This report focuses on overcoming of cerebral ischemia as a result of haemodynamic instability during heart enucleation in off-pump procedure. Case presentation: A 67 year old male patient, Caucasian race, with a body mass index of 28, had a recent non-Q posterolateral myocardial infarction one month before and recurrent instable angina. His past history includes an uncontrolled hypertension, dyslipidemia, insulin dependent diabetes mellitus, epiaortic vessel stenosis. The patient was scheduled for an off-pump procedure and monitored with bilateral somatosensory evoked potentials, whose alteration signalled the decrement of the cardiac index during operation. The somatosensory evoked potentials appeared when the blood pressure was increased with a pharmacological treatment. Conclusion: During the off-pump coronary bypass surgery, a lower cardiac index, predisposes patients, with multiple stroke risk factors, to a reduction of the cerebral blood flow. Intraoperative somatosensory evoked potentials monitoring provides informations about the functional status of somatosensory cortex to reverse effects of brain ischemia.
Type Text
Publisher BioMed Central
First Page 1
Last Page 4
Language eng
Bibliographic Citation Zanatta, P., Bosco, E., Di Pasquale, P., Agarwal, N., Valfre, C., & Sorbara, C. (2008). Brain function monitoring during off-pump cardiac surgery: a case report. Cases Journal, 1-4.
Rights Management ¬©Zanatta, P., Bosco, E., Di Pasquale, P., Agarwal, N., Valfre, C., & Sorbara, C. Creative Commons Attribution License http://creativecommons.org/licenses/by/2.0/
Format Medium application/pdf
Format Extent 357,617 bytes
Identifier ir-main,16924
ARK ark:/87278/s65h80kw
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 704560
Reference URL https://collections.lib.utah.edu/ark:/87278/s65h80kw
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