ICVTS Click here to locate an Ethicon representative
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Interact CardioVasc Thorac Surg 2007;6:514-516. doi:10.1510/icvts.2006.147405
© 2007 European Association of Cardio-Thoracic Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Panagiotis Dedeilias
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zervakis, D.
Right arrow Articles by Koutsoukou, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Zervakis, D.
Right arrow Articles by Koutsoukou, A.
Related Collections
Right arrow Cerebral protection
Right arrow Extracorporeal circulation

Negative results - Cardiopulmonary bypass

Cerebral vein thrombosis after coronary artery bypass surgery

Dimitrios Zervakisa,*, Panagiotis Angelidakisb, Panagiotis Dedeiliasc and Antonia Koutsoukoua

a Department of Critical Care and Pulmonary Services, University of Athens Medical School, Evangelismos General Hospital, 45-47, Ipsilandou Street, Athens, GR-10676 Greece
b Department of Neurology, Evangelismos General Hospital, Athens, Greece
c 1st Cardiosurgery Department, Evangelismos General Hospital, Athens, Greece

*Corresponding author. Tel.: +30-210-7201913; fax: +30-210-7244941.

E-mail address: dzervakis{at}hotmail.com (D. Zervakis).

A case of cerebral vein thrombosis after cardiac artery bypass grafting is presented in a patient with coronary artery disease and prolonged angina. Postoperatively he failed the weaning trials because of brain dysfunction characterized by confusion, agitation and hyperpnea. He was initially considered to represent a typical case of post cardiac surgery brain underperfusion, but as he later developed persistent signs of endocranial hypertension, imaging of the brain vessels was carried out revealing obstruction of the left transverse and the frontal half of the oblique sinus. The patient was treated with anticoagulation and cerebrospinal fluid drainage through a lumbo-peritoneal shunt. He was discharged from the ICU in good condition after 102 days of hospitalization. As magnetic resonance imaging of the brain is generally recommended in cases with post cardiac surgery brain dysfunction with normal computed tomography scan, adding magnetic resonance phlebography to the examination protocol seems rational.

Key Words: Cerebrovascular disease; Extracorporeal circulation; Intracranial hypertension

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 European Association for Cardio-thoracic Surgery