ABSTRACT
Perioperative visual loss is a rare but serious complication after cardiac surgery. The etiology is not fully understood, and there is no consensus on the optimal management of this condition. A 15-year-old male patient developed severe visual impairment attributed to nonarteritic anterior ischemic optic neuropathy after a Ross aortic root replacement procedure. A new diagnosis of the lysosomal storage disorder, mucopolysaccharidosis type II (Hunter syndrome), was subsequently made, raising questions about the pathogenesis of this devastating postoperative complication.
Subject(s)
Blindness/etiology , Cardiac Surgical Procedures/adverse effects , Mucopolysaccharidosis II/complications , Postoperative Complications/etiology , Adolescent , Humans , MaleABSTRACT
We report the case of a 12-year-old boy with a hypoplastic retroesophageal circumflex right-sided cervical aortic arch and coarctation. After the incidental finding of a heart murmur when the boy was 9 years old, cardiac magnetic resonance showed a right-sided cervical aortic arch, hypoplastic transverse arch, and separate origin of the left common carotid, right common carotid, right vertebral, and right subclavian arteries. The left subclavian artery arose from the proximal descending aorta next to the coarctation. An extra-anatomical ascending to descending aorta tube graft was inserted through a right lateral thoracotomy with good results.
Subject(s)
Aorta, Thoracic/abnormalities , Aortic Coarctation/surgery , Aorta, Thoracic/surgery , Aortic Coarctation/pathology , Child , Humans , MaleABSTRACT
This report describes the formation of a true aneurysm 15 years after an internal mammary artery patch aortoplasty of an aortic coarctation. A true aneurysm was confirmed on histology. To our knowledge, this is the first report of a case with such a complication.
