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Ann Thorac Surg 2009;88:349-350. doi:10.1016/j.athoracsur.2009.02.031
© 2009 The Society of Thoracic Surgeons
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Correspondence

Postoperative Delirium in Cardiac Operations: Microembolic Load is an Important Factor

Leo A. Bokeriia, MD, PhD, Elena Z. Golukhova, MD, PhD, Anna G. Polunina, MD, PhD

A. N. Bakulev Scientific Center of Cardiovascular Surgery, Russian Academy of Medical Sciences, Leninsky pr-t 156-368, Moscow 119571, Russia

(Email: anpolunina@mail.ru).

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

To the Editor:

We read with interest the recent article by Koster and colleagues [1]. The authors identified two independent predictors of postoperative delirium: preoperative disturbances in electrolytes (sodium/potassium) and overall impairment in health. However, the sensitivity of the developed risk checklist was low (25%). A range of studies [2–4] showed that intraoperative microemboli are an important factor inducing cerebral complications in cardiac surgical patients. Our data indicate that postoperative delirium in cardiac surgical procedures is associated with high cerebral microembolic load in most instances.

A total of 66 patients . . . [Full Text of this Article]


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Sandra Koster, Frits G.J. Oosterveld, Ab G. Hensens, Arie Wijma, and Job van der Palen
Ann. Thorac. Surg. 2009 88: 350-351. [Extract] [Full Text] [PDF]



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S. Koster, F. G.J. Oosterveld, A. G. Hensens, A. Wijma, and J. van der Palen
Reply.
Ann. Thorac. Surg., July 1, 2009; 88(1): 350 - 351.
[Full Text] [PDF]


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