Post open heart surgery cognitive impairment

Posted by trki @trki, Mar 16 4:50pm

For those who had open heart surgery , did you experience post surgery cognitive impairment?
If so, how did it manifest? How long did it last?

Thanks

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This is a real concern with open heart surgery. You need to find a surgeon that will use retrograde perfusion; this keeps blood flowing to your brain during surgery and the risks of cognitive impairment are far less.
Even in the same practice, not all surgeons know how to do this. We believe that it is very very important to do this.
Go to pubmed and search for articles on "cerebral perfusion in aortic aneurysm surgery." This will provide you with a list of surgeons that use this technique and also will provide information on questions to ask.
I asked one of my earlier husband's potential surgeons "what happens if you don't get the repair done in the planned 20 minute cooling timefrane." He had no answer. He laughed actually. We looked for (and found) another surgeon although this guy had a great reputation.

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@hsminc

This is a real concern with open heart surgery. You need to find a surgeon that will use retrograde perfusion; this keeps blood flowing to your brain during surgery and the risks of cognitive impairment are far less.
Even in the same practice, not all surgeons know how to do this. We believe that it is very very important to do this.
Go to pubmed and search for articles on "cerebral perfusion in aortic aneurysm surgery." This will provide you with a list of surgeons that use this technique and also will provide information on questions to ask.
I asked one of my earlier husband's potential surgeons "what happens if you don't get the repair done in the planned 20 minute cooling timefrane." He had no answer. He laughed actually. We looked for (and found) another surgeon although this guy had a great reputation.

Jump to this post

That’s very helpful feedback .. thanks!…

I did go to punned but couldn’t find a link to search for a surgeon who does retrograde cerebral perfusion in… Do you st have that link?
Thanks!

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Immediately post surgery I had delirium and my whole body was a wreck. I believe that for about 6 to 12 months I had post perfusion syndrome or "pump head", a feeling of dizziness and forgetting. It wore off at around 12 months. Forgetting the start of a sentence i had just started. Not walking in straight lines. A feeling of being pulled down when trying to walk which is not physical.
Frustration, anxiety, feelings of alienation.
Anaesthetists say that worry and anxiety before surgery can affect the recovery of a patient.
Mine was an emergent surgery with no warning. Please read my story elsewhere.
The surgeon says he told me i had significant risks. Percentages of adverse outcomes. But I know he didn't.
And if he had told me i would have worried so much. So good that he didn't.

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@trki

That’s very helpful feedback .. thanks!…

I did go to punned but couldn’t find a link to search for a surgeon who does retrograde cerebral perfusion in… Do you st have that link?
Thanks!

Jump to this post

Look for articles that discuss cerebral perfusion in aortic aneurysm or aortic arch surgery. People that author these articles probably do it.
Please let me know.

REPLY
@trki

That’s very helpful feedback .. thanks!…

I did go to punned but couldn’t find a link to search for a surgeon who does retrograde cerebral perfusion in… Do you st have that link?
Thanks!

Jump to this post

There are many many articles on cerebral perfusion in aortic aneurysm surgery. You need to click on the article to see the authors; then click on the authors to see where they come from. Look at more recent articles. I saw recent articles from the Universities of Colorado, Texas, Ohio, NEw York areas, etc..
There is no list of surgeons and there are issues associated with many aspects of open heart surgery, including cooling the body, etc.. We think it is important to read as many articles as possible; some are easier to read than others but the more you read, the better decisions you will make.

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