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Pediatric Cardiology
Published in: Pediatric Cardiology 4/2008

01-07-2008 | Case Report

Central Retinal Artery Occlusion Following Transcatheter Balloon Aortic Valvuloplasty in an Adolescent with Aortic Valvular Stenosis

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

Published in: Pediatric Cardiology | Issue 4/2008

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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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Metadata
Title
Central Retinal Artery Occlusion Following Transcatheter Balloon Aortic Valvuloplasty in an Adolescent with Aortic Valvular Stenosis
Authors
Hirosuke Inoue
Jun Muneuchi
Takuro Ohno
Aiko Arikawa
Tatsuro Ishibashi
Toshiro Hara
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 4/2008
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-007-9181-0

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