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Neurological monitoring and off-pump surgery in a very high-risk stroke patient. | LitMetric

Neurological monitoring and off-pump surgery in a very high-risk stroke patient.

Ann Thorac Surg

Division of Cardiothoracic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Published: December 2005

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.

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Source
http://dx.doi.org/10.1016/j.athoracsur.2004.06.064DOI Listing

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