“Pumphead,” or postperfusion syndrome, is the name given to a set of neurocognitive impairments attributed to the use of a heart-lung machine during cardiac surgery.
These include deficits associated with attention, concentration, short-term memory, fine motor function, and speed of mental and motor responses.
Whether such a syndrome exists, and to what extent, is the subject of controversy.
A study published in the journal Circulation showed persistent cognitive decline following coronary bypass.
Other studies have also found a decline, but a temporary one — a contention that some patients, who have published accounts, take issue over.
This complication was one reason why “off-pump” heart surgery was initially assumed to be preferable to the use of the heart-lung machine. But research has demonstrated there to be little or no difference.
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