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Ann Thorac Surg 2002;74:694
© 2002 The Society of Thoracic Surgeons

Invited commentary

Ola A. Selnes, PhDa

a Cognitive Neurology, Johns Hopkins Hospital, Meyer 100, 600 N. Wolfe St, Baltimore, MD 21287, USA

e-mail: oselnes@jhmi.edu

The first 20% of the full text of this article appears below.

The problem of cognitive changes after coronary artery bypass grafting (CABG) continues to be a significant concern to patients and physicians alike. Despite ongoing improvements in the surgical and anesthesiological techniques, as many as two-thirds of patients may experience cognitive decline at the time of discharge from the hospital. It has generally been assumed that most of the short-term changes, in particular those relating to memory, are transient and reversible over time. However, some recent studies have demonstrated persistent or late cognitive changes after CABG, raising the possibility of more serious long-term nonreversible problems. None of the long-term . . . [Full Text of this Article]






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