ABSTRACT

C erebral complications constitute the leading cause of morbidity and disability after heart surgery. Although many cerebral deficits resolve with time, others remain a ma­jor handicap with devastating effects on both patients and their families. The reported incidence of perioperative stroke ranges from 0.4% to 5.4% and from 25% to 79% for neurop­ sychological dysfunction.1'4 This variability depends on a number of factors, some related to the patients themselves, and others to the type of study (retrospective or prospective) or evalu­ ation tools. With more than 800,000 coronary artery bypass grafting (CABG) procedures be­ ing performed annually worldwide, the social and economic implications of these complica­ tions are quite significant.