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Neurologic complications of coronary artery bypass grafting

Case-control study

Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA.

Address correspondence and reprint requests to Dr. Hurtig, Department of Neurology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.

In a retrospective case-control study, we identified 18 patients who had neurologic symptoms associated with coronary artery bypass grafting, or 1.3% of all patients who had this operation. Cerebral infarction and anoxic encephalopathy accounted for almost all the complications. The overall mortality was 33%, higher among those with an intraoperative compared with a postoperative deficit. Prior cerebrovascular risk factors as well as intraoperative hypotension were no more prevalent in patients with complications than in age-matched controls who had the same operation.

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