TY - JOUR
T1 - Cerebral hyperperfusion syndrome after surgical repair of congenital supravalvular aortic stenosis
AU - Lin, Ting Wei
AU - Wang, Jieh Neng
AU - Kan, Chung Dann
N1 - Publisher Copyright:
© 2015 The Society of Thoracic Surgeons.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Although cerebral hyperperfusion syndrome is rarely encountered, this condition can be serious after procedures that increase cerebral blood flow; most reports are related to carotid revascularization. Sharp cerebral hemodynamic changes, along with impaired cerebrovascular autoregulation, are the main mechanisms contributing to this syndrome. We report a patient who underwent surgical correction for congenital supravalvular aortic stenosis and presented with postoperative hypertension, headache, impairment of consciousness, and cerebral edema 2 days after operation. He recovered well when the blood pressure declined and the brain edema subsided. Cerebral hyperperfusion syndrome was considered, and this uncommon neurologic complication of cardiac operations is discussed.
AB - Although cerebral hyperperfusion syndrome is rarely encountered, this condition can be serious after procedures that increase cerebral blood flow; most reports are related to carotid revascularization. Sharp cerebral hemodynamic changes, along with impaired cerebrovascular autoregulation, are the main mechanisms contributing to this syndrome. We report a patient who underwent surgical correction for congenital supravalvular aortic stenosis and presented with postoperative hypertension, headache, impairment of consciousness, and cerebral edema 2 days after operation. He recovered well when the blood pressure declined and the brain edema subsided. Cerebral hyperperfusion syndrome was considered, and this uncommon neurologic complication of cardiac operations is discussed.
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U2 - 10.1016/j.athoracsur.2015.05.046
DO - 10.1016/j.athoracsur.2015.05.046
M3 - Article
C2 - 26354667
AN - SCOPUS:84940658987
SN - 0003-4975
VL - 100
SP - e51-e54
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 3
ER -