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Ann Thorac Surg 2009;88:454. doi:10.1016/j.athoracsur.2009.05.034
© 2009 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Diederik van Dijk, MD

Department of Anesthesiology, University Medical Center Utrecht, Heidelberlaan 100, Utrech, 3584 CX the Netherlands

(Email: d.vandijk@umcutrecht.nl).

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

Something remarkable has happened to our perception of postoperative cognitive decline (POCD). Until a few years ago, few doubted that POCD was a serious and frequently occurring complication of cardiac operations. Uncontrolled patient studies, some of which were published in prestigious journals, reported incidences of POCD of more than 40%. POCD was described not only in the first months after cardiac operations but also after long-term follow-up. Cardiopulmonary bypass was held responsible for the problem, either through hypoperfusion of the brain, through . . . [Full Text of this Article]


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Ann. Thorac. Surg. 2009 88: 445-454. [Abstract] [Full Text] [PDF]





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