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Central retinal vein occlusion after coronary artery bypass surgery: A case report

机译:冠状动脉搭桥手术后视网膜中央静脉阻塞一例

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Objective. The aim of this study is to report a case of central retinal vein occlusion (CRVO) after coronary artery bypass graft (CABG) surgery. In this report, we present the third case in the literature with CRVO after cardiopulmonary bypass (CPB), and the first case after CABG. Case Report. A 59-year-old male patient complaining of chest pain was admitted to our hospital. The patient underwent an elective coronary angiography and was diagnosed with three-vessel coronary artery disease. An uneventful coronary artery bypass graft operation was performed using CPB. On the second postoperative day, the patient described blurring and decreased vision in his left eye, whereas the right eye was normal. The anterior-posterior segment was examined by an ophthalmologist who diagnosed central retinal vein occlusion, using a visual acuity test, fundoscopy. After 5 months of treatment, there has been no improvement in the patient’s visual acuity. Conclusion. As two previous case reports indicated CRVO can be a rare complication after CPB, this study demonstrated that CRVO can also be a complication of CABG. Therefore, CRVO should always be considered as a potential complication after cardiac surgery.
机译:目的。这项研究的目的是报告冠状动脉旁路移植术(CABG)手术后视网膜中央静脉阻塞(CRVO)的病例。在本报告中,我们介绍了文献中在体外循环(CPB)后发生CRVO的第三例,以及在CABG后发生的第一例。案例报告。我院一名59岁抱怨胸痛的男性患者入院。该患者进行了选择性冠状动脉造影,并被诊断出患有三支冠状动脉疾病。使用CPB进行冠状动脉搭桥手术。术后第二天,患者左眼出现视物模糊和视力下降,而右眼则正常。由眼科医生检查了前后节段,该医师使用视力测试,眼底镜检查法诊断了视网膜中央静脉阻塞。经过5个月的治疗,患者的视力没有任何改善。结论。由于先前的两个病例报告表明CRVO可能是CPB术后的罕见并发症,因此这项研究表明CRVO可能也是CABG的并发症。因此,CRVO应始终被视为心脏手术后的潜在并发症。

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