Popis: |
Coronary artery bypass grafting (CABG) surgery usually improves myocardial contractility, reducing cardiovascular events. However, it is a high-risk procedure associated with significant neurological complications, including stroke, delirium and cognitive impairment. The pathophysiology of these complications is not very well known, and may include low flow state after surgery, low cardiac output, embolism and reperfusion lesion. The aim of this study is to prospectively evaluate the cerebral hemodynamics through transcranial color and spectral Doppler sonography in high-risk patients undergoing cardiac surgery with a pump. |