ALERT!

This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Stroke after Aortic Valve Surgery: Results from a Prospective Cohort.

Tuesday, June 3, 2014

Submitted by

Ruben Osnabrugge

Source

Source Name: Circulation

Source URL: http://www.ncbi.nlm.nih.gov/pubmed/24690611

Author(s)

Messé SR, Acker MA, Kasner SE, Fanning M, Giovannetti T, Ratcliffe SJ, Bilello M, Szeto WY, Bavaria JE, Hargrove WC 3rd, Mohler ER 3rd, Floyd TF; for the Determining Neurologic Outcomes from Valve Operations (DeNOVO) investigators.

The authors of this paper prospectively studied stroke after aortic valve replacement (AVR) in patients with aortic stenosis (AS) and >65years old. Neurological status was assessed pre- and postoperatively assessed by neurologists, postoperatively by MRI and strokes were evaluated according to the National Institutes of Health Stroke Sscale. The authors show that the incidence of clinical stroke after AVR was higher than for the same cohort in the STS database. Moreover, sub-clinical infarctions were detected in >50% of all AVRs. Clinical stroke was associated with longer hospital stay and higher mortality.