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心脏导管插入术后成功治疗半侧视网膜中央动脉阻塞;病例报告

Successfully treated hemi-central retinal artery occlusion following cardiac catheterization; case report.

作者信息

Al-Kasasbeh Abdullah, Saleh Omar, Ibdah Rasheed, Rawashdeh Sukaina, Ibrahim Khalid

机构信息

Division of cardiology, Department of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Ophthalmology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Ann Med Surg (Lond). 2021 Feb 23;63:102175. doi: 10.1016/j.amsu.2021.02.021. eCollection 2021 Mar.

Abstract

INTRODUCTION AND IMPORTANCE

Here we report a case of a middle-aged man who complained of blurred vision in his left eye 1 h post cardiac catheterization and proved to have central retinal artery occlusion, a dangerous but potentially treatable sight-threatening complication of cardiac-catheterization. The patient was successfully treated through an Ophthalmological surgical intervention.

CASE PRESENTATION

A 49- year-old male patient admitted to the coronary care unit as a case of non-ST-elevation-myocardial infarction. The patient underwent cardiac catheterization and stenting of the right coronary artery. One hour later, he complained of blurred vision in his left eye.

CLINICAL DISCUSSION

Ophthalmological examination showed an inferior visual field defect in the left eye. Fundus fluorescein angiography revealed that the patient had a hemi-central retinal artery occlusion, a rare complication of cardiac catheterization. A pars plana vitrectomy eye surgery was performed with an excellent result.

CONCLUSION

This case highlights the importance of early recognition and treatment of central retinal artery occlusion post cardiac catheterization.

摘要

引言与重要性

在此,我们报告一例中年男性病例,该患者在心脏导管插入术后1小时主诉左眼视力模糊,经证实患有视网膜中央动脉阻塞,这是心脏导管插入术一种危险但可能可治疗的致盲性并发症。该患者通过眼科手术干预成功治愈。

病例介绍

一名49岁男性患者因非ST段抬高型心肌梗死入住冠心病监护病房。患者接受了心脏导管插入术及右冠状动脉支架置入术。一小时后,他主诉左眼视力模糊。

临床讨论

眼科检查显示左眼存在下方视野缺损。眼底荧光血管造影显示患者患有半侧视网膜中央动脉阻塞,这是心脏导管插入术的一种罕见并发症。进行了玻璃体切除术,手术效果良好。

结论

本病例凸显了心脏导管插入术后早期识别和治疗视网膜中央动脉阻塞的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4247/7920800/68a4a9d24729/gr1.jpg

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