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

Ciloglu, Ufuk; Aldağ, Mustafa; Albeyoğlu, Şebnem; Aykut, Veysel; Karakaya, Canan; Gonul, Burcu

doi:10.5644/ama2006-124.188

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ciloglu et al . [ 12 ] and Fosnot et al . [ 13 ] described rare cases of central retinal vein occlusion (CRVO) occurring after cardiac surgery.…”

Section: Resultsmentioning

confidence: 99%

Incidence and Risk Factors for Postoperative Visual Loss after Cardiac Surgical Procedures: A Systematic Review

Gupta,

Singla,

Gupta

et al. 2024

Annals of Cardiac Anaesthesia

View full text Add to dashboard Cite

Postoperative visual loss (POVL) is an infrequent yet consequential complication that can follow cardiac surgical interventions. This systematic review aims to provide a comprehensive analysis of the incidence of POVL after cardiac surgery and to delineate the associated risk factors. A comprehensive search was conducted in major medical databases for relevant studies published up to September 2022. Eligible studies reporting on the incidence of POVL and identifying risk factors in patients undergoing cardiac surgery were included. Data extraction was performed independently by two reviewers. The pooled incidence rates and the identified risk factors were synthesized qualitatively. POVL after cardiac surgery has an overall incidence of 0.015%, that is, 15 cases per 100,000 cardiac surgical procedures. Risk factors for POVL include patient characteristics (advanced age, diabetes, hypertension, and preexisting ocular conditions), procedural factors (prolonged surgery duration, cardiopulmonary bypass time, and aortic cross-clamping), anesthetic considerations (hypotension, blood pressure fluctuations, and specific techniques), and postoperative complications (stroke, hypotension, and systemic hypoperfusion). Ischemic optic neuropathy (ION) is an uncommon complication, associated with factors like prolonged cardiopulmonary bypass, low hematocrit levels, excessive body weight gain, specific medications, hypothermia, anemia, raised intraocular pressure, and micro-embolization. Diabetic patients with severe postoperative anemia are at increased risk for anterior ischemic optic neuropathy (AION). Posterior ischemic optic neuropathy (PION) can occur with factors like hypertension, postoperative edema, prolonged mechanical ventilation, micro-embolization, inflammation, hemodilution, and hypothermia. While the overall incidence of POVL postcardiac surgery remains modest, its potential impact is substantial, necessitating meticulous consideration of modifiable risk factors. Notably, prolonged surgical duration, intraoperative hypotension, anemia, and reduced hematocrit levels remain salient contributors. Vigilance is indispensable to promptly detect this infrequent yet visually debilitating phenomenon in the context of postcardiac surgical care.

show abstract

“…Ciloglu et al . [ 12 ] and Fosnot et al . [ 13 ] described rare cases of central retinal vein occlusion (CRVO) occurring after cardiac surgery.…”

Section: Resultsmentioning

confidence: 99%

Incidence and Risk Factors for Postoperative Visual Loss after Cardiac Surgical Procedures: A Systematic Review

Gupta,

Singla,

Gupta

et al. 2024

Annals of Cardiac Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Spontaneous branch retinal artery occlusion is primarily from emboli, and less often, vasospasm or thrombosis. There are only three case reports of retinal artery occlusion after cardiac surgery with sufficient detail to provide insight into mechanism, [17][18][19] and therefore it is difficult to identify mechanisms most pertinent to POVL following cardiac surgery. The most logical from a pathophysiological perspective are retinal embolization and thrombosis.…”

Section: Mechanisms Of Retinal Artery Occlusionmentioning

confidence: 99%

Perioperative Visual Loss in Cardiac Surgery

Raphael

Moss

Roth

2019

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

show abstract

“…Atherosclerosis is the main cause of coronary artery disease (CAD) ( 1 ). This disease affects millions of people around the world ( 2 ) and causes thousands of deaths yearly because obstructed vessels cannot supply blood flow to the myocardial tissue ( 3 , 4 ). more than 30% of deaths annually allocated to Cardiovascular diseases ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effects of Krebs Plus Verapamil Solution on Endothelial Function of Harvested Human Greater Saphenous Vein with Heparinized Blood, an Invitro Study

Shokri

Moradpour²,

Shafaroudi

et al. 2017

Med Arch

View full text Add to dashboard Cite

Introduction:Integrity of the great saphenous vein (GSV) endothelium is the most important key element for long-term patency rate of grafts in coronary artery bypass graft (CABG). Storage solutions play an important role in maintaining viability of vein endothelium. Diminished nitric oxide (NO) because of endothelial dysfunction may facilitate vascular inflammation and formation of atherosclerotic plaque.Aim:So, we decided to find a reasonable alternative preservative solution instead of heparinized blood (HB) by measuring NO concentration with Griess assay.Material and Method:SVG samples were obtained from 54 patients undergoing elective CABG. 3 mm rings were stored in solutions: heparinized blood (HB), Krebs (K), Krebs + Propranolol (K+P) 6.66 g/l, Krebs + Adrenaline (K+A) 200 µl/l, and Krebs + Verapamil (K+V) 200 µl/l for 30, 45, 60 and 90 min. Nitrite concentration was measured by Griess assay at 540 nm. H&E staining was performed for histologic test. Statistical analysis was performed using SPSS (V16). Results were expressed as (Means ± SE) followed by One-Way ANOVA for finding best preservative solution. Repeated measurement test was used to investigate best time. In all analysis, (P<0.05) was considered significant.Results:Average concentration of NO in (K+V) compare with HB (1st control), K (2nd control), (K+A) and (K+P) showed higher rate in all times from 30 to 90 min (16.55±1.85:) and in (K+A, K+P) compare with (HB) and (K) there was no statistically significant difference in the same times. Comparing the average concentration of (NO) between (HB) and (K) showed no significant difference (K+V>HB=K=K+A=K+P). Also, our investigations showed that NO concentration in (K+V) has the highest rate in time 90 min (10.07±0.56, p=0.002):. More than 50 percent of endothelial cells stay normal in (K+V) compare with other solutions.Conclusion:It seems that (K+V) is the best solution for the maintenance of normal physiology of SVGs endothelial cells. The most appropriate SVGs endothelial function is within 90 minutes after harvesting.

show abstract

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

Cited by 4 publications

References 9 publications

Incidence and Risk Factors for Postoperative Visual Loss after Cardiac Surgical Procedures: A Systematic Review

Incidence and Risk Factors for Postoperative Visual Loss after Cardiac Surgical Procedures: A Systematic Review

Perioperative Visual Loss in Cardiac Surgery

Comparing the Effects of Krebs Plus Verapamil Solution on Endothelial Function of Harvested Human Greater Saphenous Vein with Heparinized Blood, an Invitro Study

Contact Info

Product

Resources

About