Central retinal artery occlusion following transcatheter balloon aortic valvuloplasty in an adolescent with aortic valvular stenosis

Hirosuke Inoue; Jun Muneuchi; Takuro Ohno; Aiko Arikawa; Tatsuro Ishibashi; Toshiro Hara

doi:10.1007/s00246-007-9181-0

Central retinal artery occlusion following transcatheter balloon aortic valvuloplasty in an adolescent with aortic valvular stenosis

Hirosuke Inoue, Jun Muneuchi, Takuro Ohno, Aiko Arikawa, Tatsuro Ishibashi, Toshiro Hara

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	830-833
Number of pages	4
Journal	Pediatric Cardiology
Volume	29
Issue number	4
DOIs	https://doi.org/10.1007/s00246-007-9181-0
Publication status	Published - Jul 2008

All Science Journal Classification (ASJC) codes

Pediatrics, Perinatology, and Child Health
Cardiology and Cardiovascular Medicine

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abstract = "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.",

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AU - Inoue, Hirosuke

AU - Muneuchi, Jun

AU - Ohno, Takuro

AU - Arikawa, Aiko

AU - Ishibashi, Tatsuro

AU - Hara, Toshiro

PY - 2008/7

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AB - 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.

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Central retinal artery occlusion following transcatheter balloon aortic valvuloplasty in an adolescent with aortic valvular stenosis

Abstract

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