Simultaneous bilateral retinal artery occlusions associated with a mitral valve mass.
A 52-year-old woman with simultaneous bilateral retinal artery occlusions and normal trans-thoracic echocardiography was found to have a mitral valve lesion on trans-esophageal echocardiography. Bilateral retinal artery occlusions suggest a source of emboli at the level of the heart or aortic arch. Such cases should be evaluated not merely by trans-thoracic echocardiography, but by trans-esophageal echocardiography, which better visualizes the aortic arch and left heart cavities.
Kedar
Sachin
S
Department of Ophthalmology, Emory University, Atlanta, Georgia 30322, USA.
Biousse
Valérie
V
Newman
Nancy J
NJ
D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D005451:Fluorescein Angiography; D007839:Functional Laterality; D006349:Heart Valve Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000209:etiology*