Central retinal artery occlusion following transcatheter balloon aortic valvuloplasty in an adolescent with aortic valvular stenosis
Central retinal artery occlusion following transcatheter balloon aortic valvuloplasty in an adolescent with aortic valvular stenosis
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DOI：
10.1007/s00246-007-9181-0
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发表时间：
2008-07-01
影响因子：
1.6
通讯作者：
Hara, Toshiro
中科院分区：
文献类型：
--
作者：
Inoue, Hirosuke;Muneuchi, Jun;Hara, Toshiro
一名患有主动脉瓣狭窄的 12 岁女孩采用股动脉入路接受了经导管球囊主动脉瓣成形术 (BAV)。手术过程中使用肝素抗凝。 BAV 后 40 分钟，患者注意到右眼视野突然出现同心收缩。脑磁共振成像和颈椎超声检查未见异常。眼底镜检查显示黄斑区周围有白色肿胀，表明缺血，与视网膜中央动脉阻塞（CRAO）一致。即使在儿科人群中，CRAO 也应该被认为是一种与 BAV 相关的罕见且严重的并发症。这需要在左心手术期间仔细评估抗凝治疗。
A 12-year-old girl with aortic valvular stenosis underwent transcatheter balloon aortic valvuloplasty (BAV) using a femoral artery approach. Anticoagulation with heparin during the procedure was used. The patient noted sudden onset of concentric constriction of the visual field in the right eye 40 min after BAV. Brain magnetic resonance imaging and cervical ultrasound revealed no abnormality. Funduscopic examination showed white swelling around the macular region, indicating ischemia, consistent with central retinal artery occlusion (CRAO). CRAO should be recognized as a rare and serious complication associated with BAV even among the pediatric population. This requires careful evaluation of anticoagulation during the left heart procedures.