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Ann Thorac Surg 2003;78:755-756
© 2003 The Society of Thoracic Surgeons

Correspondence

Risk factors for stroke after cardiac operations

Giuseppe D'Ancona, MD, Jose Saez de Ibarra, MD, Richard Baillot, MD, Francois Dagenais, MD

Quebec Heart Institute, Hôpital Laval, 2725, Chemin Ste-Foy, Ste-Foy, PQ G1V 4G5, Canada

e-mail: rgea@hotmail.com

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

To the Editor:

We read with interest the article by Bucerius and coauthors concerning determinants of stroke after cardiac operations, and we congratulate them on the timely data collection and analysis.

At the Quebec Heart Institute, we recently focused on determinants of cerebral vascular accident (CVA) in a group of 10,000 patients undergoing coronary artery bypass grafting (CABG) [2]. Like Bucerius and colleagues, we found a stroke rate of around 2% with a significantly higher incidence in patients having operation on cardiopulmonary bypass (CPB) (2.1%) compared with those having off-pump CABG (OPCAB) (0.65%) (p < 0.005). After multivariate analysis, we identified seven preoperative and two perioperative determinants of CVA. Depressed left ventricular ejection . . . [Full Text of this Article]






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