Tasdemir Kutay, Evereklioglu Cem, Kaya Mehmet G
Department of Cardiovascular Surgery, Erciyes University School of Medicine Kayseri, Turkey.
Acta Cardiol. 2011 Oct;66(5):661-4. doi: 10.1080/ac.66.5.2131096.
Left ventricular injury has a bad prognosis, especially when a coronary artery is involved. After perforation of the left cardiac ventricle by a knife, a 19-year-old male patient presented with: (i) complete bilateral visual loss; (ii) left anterior descending (LAD) artery injury; (iii) severe systemic hypotension. Under emergency conditions and cardiopulmonary bypass, the LAD artery was revascularized by a saphenous vein graft. Bilateral blindness recovered within several days. Cerebral hypoxia as a result of severe systemic hypotension was the most likely underlying mechanism.
左心室损伤预后不良，尤其是当冠状动脉受累时。一名19岁男性患者被刀刺伤左心室后，出现：（i）双眼完全失明；（ii）左前降支（LAD）动脉损伤；（iii）严重全身性低血压。在紧急情况下并在体外循环下，通过大隐静脉移植对LAD动脉进行了血管重建。双眼失明在数天内恢复。严重全身性低血压导致的脑缺氧是最可能的潜在机制。
