| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 103, 1104-1111, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
CI Blauth, DM Cosgrove, BW Webb, NB Ratliff, M Boylan, MR Piedmonte, BW Lytle and FD Loop
As the ages of patients undergoing cardiac operations have increased,
noncardiac causes of death have increased. To identify these causes of
death, we analyzed the autopsy findings in 221 patients undergoing
myocardial revascularization or valve operations between 1982 and 1989.
Mean age was 65.6 +/- 9.5 years and the range was from 32 to 94 years; 130
patients (58.8%) were male. Autopsies were complete in 129 patients (58.4%)
and limited to the chest and abdomen in the remainder. Embolic disease was
identified in 69 patients (31.2%). Atheroemboli or abnormalities consistent
with atheroemboli were identified in 48 patients (21.7%). Fourteen patients
had thromboembolism and 7 had disseminated intravascular coagulation. The
prevalence of atheroembolic disease increased dramatically from 4.5% in
1982 to 48.3% in 1989 (p = 0.001). Atheroembolic disease was found in the
brain in 16.3% of patients, spleen in 10.9%, kidney in 10.4%, and pancreas
in 6.8%. Thirty (62.5%) of the 48 patients had multiple atheroembolic
sites. Atheroemboli were more common in patients undergoing coronary artery
procedures (43/165; 26.1%) than in those undergoing valve procedures (5/56;
8.9%) (p = 0.008). There was a high correlation of atheroemboli with severe
atherosclerosis of the ascending aorta. Atheroembolic events occurred in 46
of 123 patients (37.4%) with severe disease of the ascending aorta but in
only 2 of 98 patients (2%) without significant ascending aortic disease (p
less than 0.0001). Forty-six of 48 patients (95.8%) who had evidence of
atheroemboli had severe atherosclerosis of the ascending aorta. There was a
direct correlation between age, severe atherosclerosis of the ascending
aorta, and atheroemboli. Incremental risk factors for atheroembolic are
peripheral vascular disease and severe atherosclerosis of the ascending
aorta.
ARTICLES
Atheroembolism from the ascending aorta. An emerging problem in cardiac surgery
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, OH 44195-5066.
This article has been cited by other articles:
|
|
 |
|
  N. Morimoto, K. Okada, K. Uotani, F. Kanda, and Y. Okita Leukoaraiosis and hippocampal atrophy predict neurologic outcome in patients who undergo total aortic arch replacement. Ann. Thorac. Surg., August 1, 2009; 88(2): 476 - 481. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Djaiani, M. Ali, M. A. Borger, A. Woo, J. Carroll, C. Feindel, L. Fedorko, J. Karski, and H. Rakowski Epiaortic Scanning Modifies Planned Intraoperative Surgical Management But Not Cerebral Embolic Load During Coronary Artery Bypass Surgery Anesth. Analg., June 1, 2008; 106(6): 1611 - 1618. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. G Raja and G. D Dreyfus Current Status of Off-pump Coronary Artery Bypass Surgery Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 164 - 178. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Hammon Extracorporeal Circulation: Perfusion System Card. Surg. Adult, January 1, 2008; 3(2008): 350 - 370. [Full Text]
|
|
|
|
|
|
G. V. Gonzalez-Stawinski and B. W. Lytle Coronary Artery Reoperations Card. Surg. Adult, January 1, 2008; 3(2008): 711 - 732. [Full Text]
|
|
|
|
 |
|
 B. Zingone, E. Rauber, G. Gatti, A. Pappalardo, B. Benussi, G. Forti, U. Tognolli, and M. Gabrielli Diagnosis and management of severe atherosclerosis of the ascending aorta and aortic arch during cardiac surgery: focus on aortic replacement Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 990 - 997. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. G. Wolf, Y. Abu-Omar, B. P. Choudhary, D. Pigott, and D. P. Taggart Gaseous and solid cerebral microembolization during proximal aortic anastomoses in off-pump coronary surgery: The effect of an aortic side-biting clamp and two clampless devices J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 485 - 493. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Lockowandt Apicoaortic valved conduit: Potential for progress? J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 796 - 801. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. G. Shann, D. S. Likosky, J. M. Murkin, R. A. Baker, Y. R. Baribeau, G. R. DeFoe, T. A. Dickinson, T. J. Gardner, H. P. Grocott, G. T. O'Connor, et al. An evidence-based review of the practice of cardiopulmonary bypass in adults: A focus on neurologic injury, glycemic control, hemodilution, and the inflammatory response. J. Thorac. Cardiovasc. Surg., August 1, 2006; 132(2): 283 - 290.e3. [Full Text] [PDF]
|
|
|
|
 |
|
 I. Kronzon and P. A. Tunick Aortic Atherosclerotic Disease and Stroke Circulation, July 4, 2006; 114(1): 63 - 75. [Full Text] [PDF]
|
|
|
|
 |
|
 S. K Ohri and T. Velissaris Gastrointestinal Dysfunction Following Cardiac Surgery Perfusion, July 1, 2006; 21(4): 215 - 223. [PDF]
|
|
|
|
|
|
C. W. Hogue Jr, C. A. Palin, and J. E. Arrowsmith Cardiopulmonary bypass management and neurologic outcomes: an evidence-based appraisal of current practices. Anesth. Analg., July 1, 2006; 103(1): 21 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Zingone, E. Rauber, G. Gatti, A. Pappalardo, B. Benussi, L. Dreas, and L. Lattuada The impact of epiaortic ultrasonographic scanning on the risk of perioperative stroke. Eur. J. Cardiothorac. Surg., May 1, 2006; 29(5): 720 - 728. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. P. Liew and J. R Bartholomew Atheromatous embolization Vascular Medicine, November 1, 2005; 10(4): 309 - 326. [Abstract] [PDF]
|
|
|
|
|
|
S. F. Aranki, M. Nathan, P. Shekar, G. Couper, R. Rizzo, and L. H. Cohn Hypothermic Circulatory Arrest Enables Aortic Valve Replacement in Patients With Unclampable Aorta Ann. Thorac. Surg., November 1, 2005; 80(5): 1679 - 1687. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. N. Girardi, K. H. Krieger, C. A. Mack, and O. W. Isom No-Clamp Technique for Valve Repair or Replacement in Patients With a Porcelain Aorta Ann. Thorac. Surg., November 1, 2005; 80(5): 1688 - 1692. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Khosravi, C. A Skrabal, B. Westphal, G. Kundt, B. Greim, E. Kunesch, A. Liebold, and G. Steinhoff Evaluation of coated oxygenators in cardiopulmonary bypass systems and their impact on neurocognitive function Perfusion, September 1, 2005; 20(5): 249 - 254. [Abstract] [PDF]
|
|
|
|
|
|
E. Akinci, V. Erentug, K. Uzun, A. Polat, D. Goksedef, and C. Yakut Sequential Radial Artery Grafting Three-Vessel Coronary Artery Disease Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 161 - 166. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Akpinar, M. Guden, E. Sagbas, I. Sanisoglu, M. U. Ergenoglu, and C. Turkoglu Clinical experience with the Novare Enclose II manual proximal anastomotic device during off-pump coronary artery surgery Eur. J. Cardiothorac. Surg., June 1, 2005; 27(6): 1070 - 1073. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Fox, K. Glas, M. Swaminathan, and S. Shernan The Impact of Intraoperative Echocardiography on Clinical Outcomes Following Adult Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2005; 9(1): 25 - 40. [Abstract] [PDF]
|
|
|
|
|
|
P. Boivie, C. Edstrom, and K. G. Engstrom Side differences in cerebrovascular accidents after cardiac surgery: A statistical analysis of neurologic symptoms and possible implications for anatomic mechanisms of aortic particle embolization J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 591 - 598. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Schachner, G. Nagele, A. Kacani, G. Laufer, and J. Bonatti Factors Associated With Presence of Ascending Aortic Atherosclerosis in CABG Patients Ann. Thorac. Surg., December 1, 2004; 78(6): 2028 - 2032. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Bergsland, P. K. Hol, P. S. Lingas, R. Lundblad, K. A. Rein, R. Andersen, B. E. Mork, S. Halvorsen, E. Mujanovic, E. Kabil, et al. Intraoperative and intermediate-term angiographic results of coronary artery bypass surgery with Symmetry proximal anastomotic device J. Thorac. Cardiovasc. Surg., November 1, 2004; 128(5): 718 - 723. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Hessel II Abdominal Organ Injury After Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, September 1, 2004; 8(3): 243 - 263. [Abstract] [PDF]
|
|
|
|
|
|
G. B. MacKensen, M. Swaminathan, L. K. Ti, H. P. Grocott, B. G. Phillips-Bute, J. P. Mathew, M. F. Newman, C. A. Milano, and M. Stafford-Smith Preliminary report on the interaction of apolipoprotein E polymorphism with aortic atherosclerosis and acute nephropathy after CABG Ann. Thorac. Surg., August 1, 2004; 78(2): 520 - 526. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Sabik, H. Nemeh, B. W. Lytle, E. H. Blackstone, A. M. Gillinov, J. Rajeswaran, and D. M. Cosgrove Cannulation of the axillary artery with a side graft reduces morbidity Ann. Thorac. Surg., April 1, 2004; 77(4): 1315 - 1320. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. H. Menkis Management of the Ascending Aorta in Routine Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2004; 8(1): 19 - 24. [Abstract] [PDF]
|
|
|
|
|
|
T. P. Carrel, F. S. Eckstein, L. Englberger, P. A. Berdat, and J. Schmidli Clinical experience with devices for facilitated anastomoses in coronary artery bypass surgery Ann. Thorac. Surg., March 1, 2004; 77(3): 1110 - 1120. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-F. Legare, K. J. Buth, S. King, J. Wood, J. A. Sullivan, C. H. Friesen, J. Lee, K. Stewart, and G. M. Hirsch Coronary Bypass Surgery Performed off Pump Does Not Result in Lower In-Hospital Morbidity Than Coronary Artery Bypass Grafting Performed on Pump Circulation, February 24, 2004; 109(7): 887 - 892. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Schmitz, S. Weinreich, J. White, I. Oengoeren, R. Schneider, D. Schneider, I. Speth, C. Pohl, and A. Welz Can particulate extraction from the ascending aorta reduce neurologic injury in cardiac surgery? J. Thorac. Cardiovasc. Surg., December 1, 2003; 126(6): 1829 - 1836. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. B. Mackensen, L. K. Ti, B. G. Phillips-Bute, J. P. Mathew, M. F. Newman, H. P. Grocott, and the Neurologic Outcome Research Group Cerebral embolization during cardiac surgery: impact of aortic atheroma burden Br. J. Anaesth., November 1, 2003; 91(5): 656 - 661. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Hammon Aortic nightmares: Can we sleep better? J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1200 - 1201. [Full Text] [PDF]
|
|
|
|
|
|
J. R. Doty, R. E. Wilentz, J. D. Salazar, R. H. Hruban, and D. E. Cameron Atheroembolism in cardiac surgery Ann. Thorac. Surg., April 1, 2003; 75(4): 1221 - 1226. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. J. McCreath, M. Swaminathan, J. V. Booth, B. Phillips-Bute, S. T.H. Chew, D. D. Glower, and M. Stafford-Smith Mitral valve surgery and acute renal injury: port access versus median sternotomy Ann. Thorac. Surg., March 1, 2003; 75(3): 812 - 819. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Wimmer-Greinecker Reduction of neurologic complications by intra-aortic filtration in patients undergoing combined intracardiac and CABG procedures Eur. J. Cardiothorac. Surg., February 1, 2003; 23(2): 159 - 164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Cook, T. A. Orszulak, K. J. Zehr, N. A. Nussmeier, J. J. Livesay, J. W. Hammon, and X. Chen Effectiveness of the Cobra aortic catheter for dual-temperature management during adult cardiac surgery J. Thorac. Cardiovasc. Surg., February 1, 2003; 125(2): 378 - 384. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Hessel II and L. H. Edmunds Jr. Extracorporeal Circulation: Perfusion Systems Card. Surg. Adult, January 1, 2003; 2(2003): 317 - 338. [Full Text]
|
|
|
|
|
|
R. Salenger, J. S. Gammie, and T. J. Vander Salm Postoperative Care of Cardiac Surgical Patients Card. Surg. Adult, January 1, 2003; 2(2003): 439 - 469. [Full Text]
|
|
|
|
|
|
B. W. Lytle Coronary Artery Reoperations Card. Surg. Adult, January 1, 2003; 2(2003): 659 - 679. [Full Text]
|
|
|
|
|
|
A A Albert, C J Beller, B Arnrich, J A Walter, U P Rosendahl, A Hetzel, H Priss, and J Ennker Is there any impact of the shape of aortic end-hole cannula on stroke occurrence? Clinical evaluation of straight and bent-tip aortic cannulae Perfusion, December 1, 2002; 17(6): 451 - 456. [Abstract] [PDF]
|
|
|
|
|
|
P. Bergman, L. Hadjinikolaou, and J. van der Linden Aortic atheroma is related to number of particulates captured by intra-aortic filtration in CABG Eur. J. Cardiothorac. Surg., October 1, 2002; 22(4): 539 - 544. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kuki, K. Taniguchi, T. Masai, T. Yokota, K. Yoshida, K. Yamamoto, and H. Matsuda An Alternative Approach Using Long Elephant Trunk for Extensive Aortic Aneurysm: Elephant Trunk Anastomosis at the Base of the Innominate Artery Circulation, September 24, 2002; 106(12_suppl_1): I-253 - I-258. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Ozatik, O. Tarcan, A. Kale, G. Askon, M. Balco, A. Undar, D. S. Kucukaksu, E. Sener, and O. Tasdemir Do S100{beta} protein level increases due to inflammation during cardiopulmonary bypass occur without any neurological deficit? Perfusion, September 1, 2002; 17(5): 335 - 338. [Abstract] [PDF]
|
|
|
|
|
|
J. M. Murkin, W. D. Boyd, S. Ganapathy, S. J. Adams, R. C. Peterson, J. Morgan, and P. Lok Neuroprotection During CPB: From Mechanisms to Interventions Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2002; 6(1): 3 - 6. [Abstract] [PDF]
|
|
|
|
|
|
A. Gerdes, T. Hanke, and H.-H Sievers In vitro hydrodynamics of the Embol-X cannula Perfusion, March 1, 2002; 17(2): 153 - 156. [Abstract] [PDF]
|
|
|
|
|
|
A. T. Tang, M. Devbhandari, and S. K Ohri Complete Myocardial Revascularization in Severe Arteriopathy Asian Cardiovasc Thorac Ann, December 1, 2001; 9(4): 315 - 317. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.J. Fearn, R. Pole, M. Burgess, S.G. Ray, T.L. Hooper, and C.N. McCollum Cerebral embolisation during modern cardiopulmonary bypass Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1163 - 1167. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Schmitz and E. H. Blackstone International Council of Emboli Management (ICEM) Study Group results: risk adjusted outcomes in intraaortic filtration Eur. J. Cardiothorac. Surg., November 1, 2001; 20(5): 986 - 991. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Murkin Attenuation of neurologic injury during cardiac surgery Ann. Thorac. Surg., November 1, 2001; 72(5): S1838 - 1844. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Okita, K. Minatoya, O. Tagusari, M. Ando, K. Nagatsuka, and S. Kitamura Prospective comparative study of brain protection in total aortic arch replacement: deep hypothermic circulatory arrest with retrograde cerebral perfusion or selective antegrade cerebral perfusion Ann. Thorac. Surg., July 1, 2001; 72(1): 72 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. van der Linden, L. Hadjinikolaou, P. Bergman, and D. Lindblom Postoperative stroke in cardiac surgery is related to the location and extent of atherosclerotic disease in the ascending aorta J. Am. Coll. Cardiol., July 1, 2001; 38(1): 131 - 135. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Borger, J. Ivanov, R. D. Weisel, V. Rao, and C. M. Peniston Stroke during coronary bypass surgery: principal role of cerebral macroemboli Eur. J. Cardiothorac. Surg., May 1, 2001; 19(5): 627 - 632. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. W. Hogue Jr, B. Barzilai, K. S. Pieper, L. P. Coombs, E. R. DeLong, N. T. Kouchoukos, and V. G. Davila-Roman Sex Differences in Neurological Outcomes and Mortality After Cardiac Surgery : A Society of Thoracic Surgery National Database Report Circulation, May 1, 2001; 103(17): 2133 - 2137. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, N. Washiyama, B. A. H. Muhammad, H. Terada, K. Yamashita, and M. Takinami Improved results of atherosclerotic arch aneurysm operations with a refined technique J. Thorac. Cardiovasc. Surg., March 1, 2001; 121(3): 491 - 499. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. Rauch, J. I. Osende, V. Fuster, J. J. Badimon, Z. Fayad, and J. H. Chesebro Thrombus Formation on Atherosclerotic Plaques: Pathogenesis and Clinical Consequences Ann Intern Med, February 6, 2001; 134(3): 224 - 238. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Vazquez-Jimenez, A. Perez-Bouza, O. J. Liakopoulos, and B. J. Messmer Cholesterol crystal embolization after cardiac operations. : Report of two cases Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 96 - 98. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S. Weinstein Left hemispheric strokes in coronary surgery: implications for end-hole aortic cannulas Ann. Thorac. Surg., January 1, 2001; 71(1): 128 - 132. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Prifti, M. Bonacchi, M. Leacche, and G. Frati Innominate artery cannulation in patients with severe porcelain aorta Ann. Thorac. Surg., January 1, 2001; 71(1): 399 - 400. [Full Text] [PDF]
|
|
|
|
|
|
I. Fukuda, S. Gomi, K. Watanabe, and J. Seita Carotid and aortic screening for coronary artery bypass grafting Ann. Thorac. Surg., December 1, 2000; 70(6): 2034 - 2039. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Gillinov, B. W. Lytle, V. Hoang, D. M. Cosgrove, M. K. Banbury, P. M. McCarthy, J. F. Sabik, G. B. Pettersson, N. G. Smedira, and E. H. Blackstone The atherosclerotic aorta at aortic valve replacement: Surgical strategies and results J. Thorac. Cardiovasc. Surg., November 1, 2000; 120(5): 957 - 965. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Hirotani, T. Kameda, T. Kumamoto, S. Shirota, and M. Yamano Stroke after coronary artery bypass grafting in patients with cerebrovascular disease Ann. Thorac. Surg., November 1, 2000; 70(5): 1571 - 1576. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. Harringer Capture of particulate emboli during cardiac procedures in which aortic cross-clamp is used Ann. Thorac. Surg., September 1, 2000; 70(3): 1119 - 1123. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Ueda, H. Shimizu, K. Moro, H. Shin, R. Yozu, I. Kashima, and S. Kawada Complications associated with clamping the aorta between the left common carotid artery and left subclavian artery Ann. Thorac. Surg., August 1, 2000; 70(2): 558 - 561. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Ali, M. Harmer, and R. Vaughan Serum S100 protein as a marker of cerebral damage during cardiac surgery Br. J. Anaesth., August 1, 2000; 85(2): 287 - 298. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Wilson, S. Y.N. Boyd, P. G. Lisagor, B. J. Rubal, and D. J. Cohen Ascending aortic atheroma assessed intraoperatively by epiaortic and transesophageal echocardiography Ann. Thorac. Surg., July 1, 2000; 70(1): 25 - 30. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Gerdes, E. Joubert-Hubner, K. Esders, and H.-H. Sievers Hydrodynamics of aortic arch vessels during perfusion through the right subclavian artery Ann. Thorac. Surg., May 1, 2000; 69(5): 1425 - 1430. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ura, R. Sakata, Y. Nakayama, and T. Goto Ultrasonographic demonstration of manipulation-related aortic injuries after cardiac surgery J. Am. Coll. Cardiol., April 1, 2000; 35(5): 1303 - 1310. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Caputo, R. Ascione, G. D. Angelini, M-S. Suleiman, and A. J. Bryan The end of the cold era: from intermittent cold to intermittent warm blood cardioplegia Eur. J. Cardiothorac. Surg., November 1, 1999; 14(5): 467 - 475. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery) J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347. [Full Text] [PDF]
|
|
|
|
|
|
M. A. Ozatik, K. M Vural, E. Sener, and O. Tasdemir Epiaortic Ultrasound: Aortic Screening in Coronary Revascularization Asian Cardiovasc Thorac Ann, September 1, 1999; 7(3): 168 - 172. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Okita, M. Ando, K. Minatoya, O. Tagusari, S. Kitamura, N. Nakajjma, and S. Takamoto Early and long-term results of surgery for aneurysms of the thoracic aorta in septuagenarians and octogenarians Eur. J. Cardiothorac. Surg., September 1, 1999; 16(3): 317 - 323. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Kilminster, T. Treasure, T. McMillan, and D. W. Holt Neuropsychological Change and S-100 Protein Release in 130 Unselected Patients Undergoing Cardiac Surgery Stroke, September 1, 1999; 30(9): 1869 - 1874. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. W. Hogue Jr, S. F. Murphy, K. B. Schechtman, and V. G. Davila-Roman Risk Factors for Early or Delayed Stroke After Cardiac Surgery Circulation, August 10, 1999; 100(6): 642 - 647. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Rihal, K. Sutton-Tyrrell, P. Guo, N. M. Keller, R. Jandova, M. A. Sellers, H. V. Schaff, and D. R. Holmes Jr Increased Incidence of Periprocedural Complications Among Patients With Peripheral Vascular Disease Undergoing Myocardial Revascularization in the Bypass Angioplasty Revascularization Investigation Circulation, July 13, 1999; 100(2): 171 - 177. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. A. Selnes, M. A. Goldsborough, L. M. Borowicz Jr, C. Enger, S. A. Quaskey, and G. M. McKhann Determinants of cognitive change after coronary artery bypass surgery: a multifactorial problem Ann. Thorac. Surg., June 1, 1999; 67(6): 1669 - 1676. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G. Leyh, C. Bartels, A. Notzold, and H.-H. Sievers Management of porcelain aorta during coronary artery bypass grafting Ann. Thorac. Surg., April 1, 1999; 67(4): 986 - 988. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. G. Davila-Roman, S. F. Murphy, N. J. Nickerson, N. T. Kouchoukos, K. B. Schechtman, and B. Barzilai Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality J. Am. Coll. Cardiol., April 1, 1999; 33(5): 1308 - 1316. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. M. Murkin Strategies and Techniques for Neuroprotection in Coronary Artery Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 1999; 3(1): 4 - 8. [Abstract] [PDF]
|
|
|
|
|
|
C. W. Hogue JR, B. Barzilai, and V. G. Davila-Roman Stroke Reduction: Diagnosis and Management of the Atherosclerotic Ascending Aorta During Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 1999; 3(1): 17 - 24. [Abstract] [PDF]
|
|
|
|
|
|
P. R. Vogt, M. Hauser, U. Schwarz, R. Jenni, M. L. Lachat, G. Zund, R. W. Schupbach, D. Schmidlin, and M. I. Turina Complete thromboendarterectomy of the calcified ascending aorta and aortic arch Ann. Thorac. Surg., February 1, 1999; 67(2): 457 - 461. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ura, R. Sakata, Y. Nakayama, T.-A. Miyamoto, and T. Goto Extracorporeal circulation before and after ultrasonographic evaluation of the ascending aorta Ann. Thorac. Surg., February 1, 1999; 67(2): 478 - 483. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Okita, M. Ando, K. Minatoya, S. Kitamura, S. Takamoto, and N. Nakajima Predictive factors for mortality and cerebral complications in arteriosclerotic aneurysm of the aortic arch Ann. Thorac. Surg., January 1, 1999; 67(1): 72 - 78. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. G. Davila-Roman, N. T. Kouchoukos, K. B. Schechtman, and B. Barzilai ATHEROSCLEROSIS OF THE ASCENDING AORTA IS A PREDICTOR OF RENAL DYSFUNCTION AFTER CARDIAC OPERATIONS J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 111 - 116. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. C. King, R. C. Kanithanon, K. S. Shockey, W. D. Spotnitz, C. G. Tribble, and I. L. Kron Replacing the atherosclerotic ascending aorta is a high-risk procedure Ann. Thorac. Surg., August 1, 1998; 66(2): 396 - 401. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E Ferrari, B Taillan, E Drai, P Morand, and M Baudouy Investigation of the thoracic aorta in cholesterol embolism by transoesophageal echocardiography Heart, February 1, 1998; 79(2): 133 - 136. [Abstract] [Full Text]
|
|
|
|
|
|
DavidP. Bichell, J. M. Balaguer, S. F. Aranki, G. S. Couper, D. H. Adams, R. J. Rizzo, J. J. Collins Jr, and L. H. Cohn Axilloaxillary Cardiopulmonary Bypass: A Practical Alternative to Femorofemoral Bypass Ann. Thorac. Surg., September 1, 1997; 64(3): 702 - 705. [Abstract] [Full Text]
|
|
|
|
|
|
D. Barbut, Y.-W. Lo, G. S. Hartman, F.-S. F. Yao, R. R. Trifiletti, D. N. Hager, R. B. Hinton, J. P. Gold, and O. W. Isom Aortic Atheroma Is Related to Outcome but Not Numbers of Emboli During Coronary Bypass Ann. Thorac. Surg., August 1, 1997; 64(2): 454 - 459. [Abstract] [Full Text]
|
|
|
|
 |
|
 N. T. Kouchoukos and D. Dougenis Surgery of the Thoracic Aorta N. Engl. J. Med., June 26, 1997; 336(26): 1876 - 1889. [Full Text] [PDF]
|
|
|
|
|
|
J. W. Hammon Jr, D. A. Stump, N. D. Kon, A. R. Cordell, A. S. Hudspeth, T. E. Oaks, R. F. Brooker, A. T. Rogers, R. Hilbawi, L. H. Coker, et al. Risk Factors and Solutions for the Development of Neurobehavioral Changes After Coronary Artery Bypass Grafting Ann. Thorac. Surg., June 1, 1997; 63(6): 1613 - 1617. [Abstract] [Full Text]
|
|
|
|
|
|
N. M. Katz and G. A. Chase Risks of Cardiac Operations for Elderly Patients: Reduction of the Age Factor Ann. Thorac. Surg., May 1, 1997; 63(5): 1309 - 1314. [Abstract] [Full Text]
|
|
|
|
|
|
L. Shore-Lesserson and S. N. Konstadt Aortic Atherosclerosis: Should We Bother to Look for It? Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 1997; 1(1): 39 - 48. [PDF]
|
|
|
|
|
|
C. T. Mora, M. B. Henson, W. S. Weintraub, J. M. Murkin, T. D. Martin, J. M. Craver, J. P. Gott, and R. A. Guyton THE EFFECT OF TEMPERATURE MANAGEMENT DURING CARDIOPULMONARY BYPASS ON NEUROLOGIC AND NEUROPSYCHOLOGIC OUTCOMES IN PATIENTS UNDERGOING CORONARY REVASCULARIZATION J. Thorac. Cardiovasc. Surg., August 1, 1996; 112(2): 514 - 522. [Abstract] [Full Text]
|
|
|
|
|
|
R. M. Bojar, D. D. Payne, R. E. Murphy, S. L. Schwartz, J. R. Belden, L. R. Caplan, and H. Rastegar Surgical Treatment of Systemic Atheroembolism From the Thoracic Aorta Ann. Thorac. Surg., May 1, 1996; 61(5): 1389 - 1393. [Abstract] [Full Text]
|
|
|
|
|
|
D. D. Muehrcke, R. A. Grimm, S. E. Nissen, and D. M. Cosgrove III Recurrent Cerebral Vascular Accidents Are an Indication for Ascending Aortic Endarterectomy Ann. Thorac. Surg., May 1, 1996; 61(5): 1516 - 1518. [Abstract] [Full Text]
|
|
|
|
|
|
R. C. Groom, A. G. Hill, B. F. Akl, A. M. Speir, P. S. Massimiano, E. A. Lefrak, D. D. Muehrcke, and D. M. Cosgrove III Cannula Length and Arch Flow Erosion Ann. Thorac. Surg., February 1, 1996; 61(2): 773 - 774. [Full Text]
|
|
|
|
|
|
R. C Groom, A. G Hill, B. Kuban, W. Oneill, B. F Akl, A. M Speir, J. Koningsberg, G. T Sprissler, M. Shakoor, P. S Massimiano, et al. Aortic cannula velocimetry Perfusion, May 1, 1995; 10(3): 183 - 188. [PDF]
|
|
|
|
|
|
S. A. Mills Risk Factors for Cerebral Injury and Cardiac Surgery Ann. Thorac. Surg., May 1, 1995; 59(5): 1296 - 1299. [Abstract] [Full Text]
|
|
|
|
|
|
C. I. Blauth Macroemboli and Microemboli During Cardiopulmonary Bypass Ann. Thorac. Surg., May 1, 1995; 59(5): 1300 - 1303. [Abstract] [Full Text]
|
|
|
|
|
|
M. F. Newman, N. D. Croughwell, J. A. Blumenthal, E. Lowry, W. D. White, W. Spillane, R. D. Davis Jr, D. D. Glower, L. R. Smith, E. P. Mahanna, et al. Predictors of Cognitive Decline After Cardiac Operation Ann. Thorac. Surg., May 1, 1995; 59(5): 1326 - 1330. [Abstract] [Full Text]
|
|
|
|
|
|
C. S. Rihal, K. A. Eagle, M. C. Mickel, E. D. Foster, G. Sopko, and B. J. Gersh Surgical Therapy for Coronary Artery Disease Among Patients With Combined Coronary Artery and Peripheral Vascular Disease Circulation, January 1, 1995; 91(1): 46 - 53. [Abstract] [Full Text]
|
|
| 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 |
