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Ann Thorac Surg 2009;88:481. doi:10.1016/j.athoracsur.2009.04.092
© 2009 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Mark M. Stecker, MD, PhD

Department of Neuroscience, Joan C. Edwards Marshall University School of Medicine, 1600 Medical Center Drive, Suite G500, Huntington, WV 25705

(Email: mark_stecker@yahoo.com).

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

Pre-existing brain or neurovascular injury increases the risk of neurologic complications of cardiac operations. The main question is how to optimally quantify these conditions so as to facilitate the process of preoperative neurologic risk stratification. The state of large extracranial cerebral vessels can be easily measured using ultrasound, and the large intracranial vessels can be evaluated with transcranial Doppler. However, the smaller intracranial vessels (ie, the highest resistance component of the cerebral circulation) that control cerebral perfusion are more . . . [Full Text of this Article]


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Ann. Thorac. Surg. 2009 88: 476-481. [Abstract] [Full Text] [PDF]





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