冠状动脉旁路移植术后突发严重双侧视力丧失。
Sudden, severe bilateral vision loss after coronary artery bypass grafting.
机构信息
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada
出版信息
BMJ Case Rep. 2021 Aug 3;14(8):e243754. doi: 10.1136/bcr-2021-243754.
Abstract
We describe a rare complication of coronary artery bypass grafting (CABG) in a young man who presented with sudden, severe, bilateral visual loss after surgery. His ophthalmological examination was non-revealing; however, MRI of the brain revealed bilateral occipital lobe infarction. His infarction was presumed to be secondary to emboli arising from surgical manipulation within the atherosclerotic ascending aorta or from a cardiogenic thrombus formed due to perioperative arrhythmia.
摘要
我们描述了一名年轻男性在冠状动脉旁路移植术（CABG）后出现的罕见并发症，其表现为手术后突然出现严重的双侧视力丧失。他的眼科检查没有发现异常；然而，脑部 MRI 显示双侧枕叶梗死。他的梗死被认为是由于手术操作导致的粥样硬化升主动脉内的栓子或围手术期心律失常引起的心源性血栓形成所致。
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