Factors influencing neurologic outcome after neonatal cardiopulmonary bypass: What we can and cannot control

被引:63
作者
Hsia, Tain-Yen [1 ]
Gruber, Peter J. [1 ]
机构
[1] Childrens Hosp Philadelphia, Div Cardiothorac Surg, Philadelphia, PA 19104 USA
关键词
D O I
10.1016/j.athoracsur.2006.02.074
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Advances in cardiopulmonary bypass and surgical techniques have led to progress in the early repair of congenital heart defects in children. However, as increasing numbers survive their initial cardiac operation, an awareness is emerging that significant early and late neurologic morbidities continue to complicate otherwise successful operative repairs. Adverse neurologic outcomes after neonatal cardiac surgery are multifactorial and relate to both fixed and modifiable mechanisms. The purpose of this review is to (1) review mechanisms of brain injury after neonatal cardiopulmonary bypass, (2) examine risk factors, and (3) speculate on how investigations may improve our understanding of neurologic injury.
引用
收藏
页码:S2381 / S2388
页数:8
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