Circulating microaggregates during cardiac surgery precedes postoperative stroke

被引:0
作者
Zühre Uz
Dan M. J. Milstein
Can Ince
Bastian A. J. M. de Mol
机构
[1] University of Amsterdam,Department of Translational Physiology, Academic Medical Center
[2] University of Amsterdam,Department of Oral & Maxillofacial Surgery, Academic Medical Center
[3] University of Amsterdam,Department of Cardiothoracic Surgery, Academic Medical Center
来源
Journal of Thrombosis and Thrombolysis | 2017年 / 44卷
关键词
Cardiac surgery; Cardiopulmonary bypass; Microaggregates; Microcirculation; Stroke;
D O I
暂无
中图分类号
学科分类号
摘要
Postoperative stroke and encephalopathy are potentially serious complications associated with coronary artery bypass grafting. In this case report a 78-year-old male patient receiving routine elective cardiac surgery presented with microaggregations in the sublingual microcirculation while on cardiopulmonary bypass that was undetected by routine intraoperative anticoagulation assessment. Microaggregates identified using video microscopy on his sublingual microcirculation during the procedure preceded a stroke postoperatively. Postoperative cerebral and carotid artery examination with computed tomography scanning revealed a left watershed cerebral infarct with carotid stenosis. This report presents intraoperative microcirculation-based evidence suggesting that observations of microaggregations, otherwise undetected by conventional anticoagulation assessment techniques, could serve as an early warning in elderly patients at high risk for postoperative cerebrovascular events.
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页码:14 / 18
页数:4
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