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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...

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Related Experiment Video

Updated: Jun 14, 2026

A Mouse Model of Orthopedic Surgery to Study Postoperative Cognitive Dysfunction and Tissue Regeneration
08:17

A Mouse Model of Orthopedic Surgery to Study Postoperative Cognitive Dysfunction and Tissue Regeneration

Published on: February 27, 2018

Postoperative cognitive dysfunction and aortic atheroma.

Lisbeth A Evered1, Brendan S Silbert, David A Scott

  • 1Centre for Anaesthesia and Cognitive Function, Department of Anaesthesia, St. Vincent's Hospital, University of Melbourne, Melbourne, Australia.

The Annals of Thoracic Surgery
|March 27, 2010
PubMed
Summary
This summary is machine-generated.

Aortic atheroma burden predicts early postoperative cognitive dysfunction (POCD) after heart surgery. This link weakens over time, but atheroma burden is a strong early predictor.

Related Experiment Videos

Last Updated: Jun 14, 2026

A Mouse Model of Orthopedic Surgery to Study Postoperative Cognitive Dysfunction and Tissue Regeneration
08:17

A Mouse Model of Orthopedic Surgery to Study Postoperative Cognitive Dysfunction and Tissue Regeneration

Published on: February 27, 2018

Area of Science:

  • Cardiovascular Surgery
  • Neurology
  • Medical Imaging

Background:

  • Postoperative cognitive dysfunction (POCD) is a common complication following coronary artery bypass graft (CABG) surgery.
  • The association between aortic atheroma and POCD remains unclear.
  • This study investigates the relationship between aortic atheroma and POCD.

Purpose of the Study:

  • To assess the degree of aortic atheroma using intraoperative ultrasonography.
  • To determine the relationship between aortic atheroma burden and the incidence of POCD.
  • To evaluate the temporal impact of aortic atheroma on POCD.

Main Methods:

  • 311 patients undergoing CABG surgery were assessed for aortic atheroma using transesophageal and epiaortic echocardiography.
  • Atheroma was graded, and burden was calculated.
  • Neuropsychological testing was performed preoperatively and at 1 week, 3 months, and 12 months postoperatively to diagnose POCD.

Main Results:

  • Patients with POCD had a greater atheroma burden compared to those without.
  • The difference in atheroma burden was most significant at 1 week post-surgery (p=0.0002).
  • Multivariable analysis confirmed atheroma burden as a strong predictor of POCD at 1 week.

Conclusions:

  • Aortic atheroma burden is a significant predictor of early POCD after CABG surgery.
  • The predictive value of atheroma burden for POCD diminishes over time.
  • Atheroma burden, correlated with age, may serve as a valuable early indicator for POCD.