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Erschienen in: Journal of Thrombosis and Thrombolysis 1/2017

22.05.2017

Circulating microaggregates during cardiac surgery precedes postoperative stroke

verfasst von: Zühre Uz, Dan M. J. Milstein, Can Ince, Bastian A. J. M. de Mol

Erschienen in: Journal of Thrombosis and Thrombolysis | Ausgabe 1/2017

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Abstract

Postoperative stroke and encephalopathy are potentially serious complications associated with coronary artery bypass grafting. In this case report a 78-year-old male patient receiving routine elective cardiac surgery presented with microaggregations in the sublingual microcirculation while on cardiopulmonary bypass that was undetected by routine intraoperative anticoagulation assessment. Microaggregates identified using video microscopy on his sublingual microcirculation during the procedure preceded a stroke postoperatively. Postoperative cerebral and carotid artery examination with computed tomography scanning revealed a left watershed cerebral infarct with carotid stenosis. This report presents intraoperative microcirculation-based evidence suggesting that observations of microaggregations, otherwise undetected by conventional anticoagulation assessment techniques, could serve as an early warning in elderly patients at high risk for postoperative cerebrovascular events.
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Metadaten
Titel
Circulating microaggregates during cardiac surgery precedes postoperative stroke
verfasst von
Zühre Uz
Dan M. J. Milstein
Can Ince
Bastian A. J. M. de Mol
Publikationsdatum
22.05.2017
Verlag
Springer US
Erschienen in
Journal of Thrombosis and Thrombolysis / Ausgabe 1/2017
Print ISSN: 0929-5305
Elektronische ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-017-1509-x

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