HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): John R. Mehall Walter H. Merrill Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mehall, J. R. Articles by Merrill, W. H. Search for Related Content PubMed PubMed Citation Articles by Mehall, J. R. Articles by Merrill, W. H. Related Collections Cerebral protection Valve disease

J Thorac Cardiovasc Surg 2005;130:1473-1474
© 2005 The American Association for Thoracic Surgery

Brief Communication

Posterior reversible encephalopathy syndrome after nontransplant cardiac surgery

^a Department of Surgery, Section of Cardiothoracic Surgery, University of Cincinnati, Cincinnati, Ohio.
^b Department of Radiology, University of Cincinnati, Cincinnati, Ohio.

Received for publication June 28, 2005; accepted for publication July 19, 2005.

^_* Address for reprints: John R. Mehall, MD, University of Cincinnati, 231 Albert B. Sabin Way, PO Box 670558, Cincinnati, OH 45267-0558. (Email: john.mehall@uc.edu).

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

We present the case of a patient in whom a reversible neurocognitive deficit developed after aortic valve replacement surgery. The posterior reversible encephalopathy syndrome (PRES) has been described in relation to a variety of medical and postoperative conditions, but it has not been previously reported as a complication of nontransplant cardiac surgery. Major features, diagnosis, and management of PRES are described.

Clinical Summary

A 78-year-old woman with severe aortic stenosis underwent aortic valve replacement. Her operation was uneventful; postoperatively, the patient had systolic hypertension up to 180 mm Hg requiring sodium nitroprusside for adequate control. The patient was extubated and neurologically intact the evening of the operation. On the morning of postoperative day 1, acute onset of altered mental status, left upper extremity weakness, right-deviated gaze, and facial droop developed. She . . . [Full Text of this Article]

This article has been cited by other articles:

				E. F.M. Wijdicks, N. Campeau, and T. Sundt Reversible Unilateral Brain Edema Presenting With Major Neurologic Deficit After Valve Repair Ann. Thorac. Surg., August 1, 2008; 86(2): 634 - 637. [Abstract] [Full Text] [PDF]