Retinal vascular patterns after operative repair of aortic isthmic coarctation

The American Journal of Cardiology
Kamran ShamsaSteven D Schwartz

Abstract

The retinal arteriolar abnormality that accompanies aortic isthmic coarctation is as distinctive as it is unique but has thus far been virtually ignored. Accordingly, 10 patients (4 men and 6 women) were recruited for a study from the Ahmanson/UCLA Adult Congenital Heart Disease Center Outpatient Clinic. Patient age at enrollment was 35 + or - 4 years (range 25 to 66). The inclusion criterion was postoperative coarctation of the aortic isthmus, simple or complex. Coarctation gradients were absent, mild, or moderate, as determined by standard echocardiographic criteria. Ophthalmic investigations were done > or = 3 years after the last coarctation repair and included visual acuity, intraocular tonometry, slit lamp examination, and dilated funduscopic examination that used either a standard fundus camera or wide-field digital photography. The intraocular pressure and slit lamp examination findings were within normal limits. The retinal vascular patterns were bilaterally similar in all but 2 patients, in whom the left eye was significantly more affected than the right. Mild to severe retinal arteriolar tortuosity was present in 70% of our subjects, 4 of whom also had tortuosity of the retinal venules. Hypertensive retinopathy was a...Continue Reading

References

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Nov 16, 2004·The American Journal of Cardiology·Reema ChughJohn S Child

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Citations

Oct 24, 2012·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Jen-Chieh Lin, Jy-Haw Yu
Apr 5, 2014·International Journal of Cardiology·Laurianne Le GloanPaul Khairy
Jul 26, 2018·Cardiology in the Young·Subha Nasir-AhmadDavid Celermajer
Sep 29, 2018·Journal of Postgraduate Medicine·A ShaikS Abdul Khader

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