Transient cortical blindness after heart surgery in a child patient -A case report-.

Korean journal of anesthesiology
Young Duck ShinJang Soo Hong

Abstract

Visual loss occurring after pediatric cardiac surgery employing cardiopulmonary bypass (CPB) is relatively rare but the risk is substantial. Compromised cerebral perfusion due to a CPB related micro-embolization and inflammatory vascular changes as well as reduced oxygen carrying capacity in hemodilution and hypothermia during CPB might be major contributing factors to the development of postoperative visual loss after cardiac surgery with CPB. A case of immediate but transient postoperative visual loss was encountered in a 21-month-old male who underwent tricuspid valve surgery. Despite routine intraoperative measures to maintain an adequate perfusion pressure throughout the procedure, postoperative computed tomography revealed a subacute infarct in his occipital lobe. Recovery began on postoperative day 28, and the patient's vision was restored by 31 days.

References

Aug 1, 1989·The Annals of Thoracic Surgery·D M Shahian, P K Speert
Feb 1, 1987·Annals of Neurology·M S AldrichS Gilman
Dec 1, 2001·Anesthesia and Analgesia·M E WarnerD O Warner
Aug 7, 2003·The Annals of Thoracic Surgery·Gerhard TrittenweinUNKNOWN Verein zur Durchführung wissenschaftlichter Forschung auf dem Gebeit der Neonatologie und Pädiatrischen Intensivmedizin

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Citations

Jan 12, 2012·Annals of Cardiac Anaesthesia·Vishnu DattAkhalesh S Tomar
Jan 16, 2016·The Spine Journal : Official Journal of the North American Spine Society·Rafael De la Garza-RamosDaniel M Sciubba
Jun 17, 2011·The Heart Surgery Forum·Vakhtang TchantchaleishviliR Morton Bolman
Feb 25, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Rohan Bir SinghAniruddha Agarwal

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