Complications neurologiques après chirurgie cardiaque de l'adulte

Neurological complications are the second leading cause of mortality after cardiac surgery especially in elderly people. They can be classified as type 1 lesion including stroke and transient ischemic attack and type 2 lesions including cognitive dysfunction and delirium and seizures. Several risk factors account for the occurrence of neurological complication with a special contribution of age, aortic atheroma and carotid artery stenosis. Prevention requires a multimodal approach based on the diagnosis of risk factors and standardization of extracorporeal circulation and surgical procedures.