title: Central retinal artery occlusion following transcatheter balloon aortic valvuloplasty in an adolescent with aortic valvular stenosis.
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.
authors: Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
authors: Hirosuke
authors: H
authors: Inoue
authors: Jun
authors: J
authors: Muneuchi
authors: Takuro
authors: T
authors: Ohno
authors: Aiko
authors: A
authors: Arikawa
authors: Tatsuro
authors: T
authors: Ishibashi
authors: Toshiro
authors: T
authors: Hara
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001024:Aortic Valve Stenosis / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects; D002404:Catheterization / Q000009:adverse effects*; D002648:Child; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D012008:Recurrence; D012086:Reoperation; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
chemical_list: D000925:Anticoagulants; D006493:Heparin