Volume 26, Issue 121, March 2022

Impact of preoperative stroke on post cardiac surgery stroke incidence

Ehab Mohamed kasem^1,2♦

¹Cardiothoracic surgery department, Zagazig university hospital, Zagazig, Egypt
²Cardiac surgery department, king Abdullah medical city, Makkah, Saudi Arabia

^♦Corresponding author
Cardiothoracic surgery department, ZAGAZIG university hospital, Zagazig, Egypt & Cardiac surgery department, King Abdullah medical city, Makkah, Saudi Arabia

ABSTRACT

Introduction: Stroke is the most dreadful complications post cardiac surgery. In spite of advances in surgical techniques, its incidence still 3 to 5%, with associated mortality up to 26%. It’s more post valve surgery. Does preoperative stroke affect incidence of post-operative stroke and impact timing of stroke on preoperative stroke are main objective to answer. Patients and Methods: This is retrospective study analyzing data of 68 patients with preoperative stroke from July 2013 to December 2020 in Zagazig university hospital. Preoperative, Operative and Postoperative data are collected from patients' medical files. Results: The mean age of patients was 53±11yrs, dominant female (63.2%). Infective endocarditis (IE) was the commonest cause of preoperative stroke (39.7%). Benign cardiac tumor a potential cause of preoperative stroke (7.3%). Most of cases done in chronic phase, 4 cases reported with postoperative stroke have no relation to surgery timing from preoperative stroke. It correlates with the cardiac pathology. The post-operative data other than stroke included bleeding 675 ml ± 125 ml, with 2 cases re-explored. We reported 1 case of mortality, early stroke post aortic dissection (AD). Conclusions: Surgery can be performed safely in patients suffered from preoperative stroke without burden on post-operative stoke incidence. Following guidelines is recommended, and surgery timing is still debated however early surgery is recommended if patient clinically deteriorated or biasing about negative outcome.

Keywords: Stroke, CABG, Valve surgery, Postoperative stroke, morbidity

Medical Science, 2022, 26, ms99e2127

PDF

DOI: https://doi.org/10.54905/disssi/v26i121/ms99e2127

Published: 11 March 2022