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A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli
Joint Authors
Guardado, Joana
Sá, Fernando Montenegro
Fernandes, Sara I. L.
Carvalho, Rita J. R.
Santos, Luís M. G.
Antunes, José A. S.
Morais, João C. A.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Acute visual loss is rarely caused by a heart condition.
This manuscript transcribes a case report of a 36-year-old patient with a 2-year history of aortic valve replacement due to bicuspid aortic valve endocarditis that presents to the emergency department with an acute right eye visual loss.
After ophthalmologic investigation identified a central retinal artery occlusion, a transthoracic echocardiography was performed to search for a possible cardiac embolus, despite the patient presenting INR values of 2-2.5 for the last year.
A mitral-aortic intervalvular fibrosa pseudoaneurysm was identified.
A transoesophageal echocardiography was then performed, identifying a small clot logged inside the pseudoaneurysm that protruded to the left ventricle outflow tract.
After INR-adjusted warfarin treatment to levels between 3 and 4, the pseudoaneurysm was surgically closed.
This is a rare case since the likely source of embolism to the central retinal artery was the thrombus logged inside the pseudoaneurysm despite a standardly accepted therapeutic INR.
American Psychological Association (APA)
Sá, Fernando Montenegro& Fernandes, Sara I. L.& Carvalho, Rita J. R.& Santos, Luís M. G.& Antunes, José A. S.& Guardado, Joana…[et al.]. 2020. A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli. Case Reports in Cardiology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146090
Modern Language Association (MLA)
Sá, Fernando Montenegro…[et al.]. A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli. Case Reports in Cardiology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1146090
American Medical Association (AMA)
Sá, Fernando Montenegro& Fernandes, Sara I. L.& Carvalho, Rita J. R.& Santos, Luís M. G.& Antunes, José A. S.& Guardado, Joana…[et al.]. A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli. Case Reports in Cardiology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1146090
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146090