Korean J Anesthesiol.  2010 Jul;59(1):61-64. 10.4097/kjae.2010.59.1.61.

Transient cortical blindness after heart surgery in a child patient: A case report

• Shin YD
• Lim SW
• Bae JH
• Lee DH
• Baek DH
• Hong JS

• KMID: 2236491
• DOI: http://doi.org/10.4097/kjae.2010.59.1.61

Abstract

Visual loss occurring after pediatric cardiac surgery employing cardiopulmonary bypass (CPB) is relatively rare but the risk is substantial. Compromised cerebral perfusion due to a CPB related micro-embolization and inflammatory vascular changes as well as reduced oxygen carrying capacity in hemodilution and hypothermia during CPB might be major contributing factors to the development of postoperative visual loss after cardiac surgery with CPB. A case of immediate but transient postoperative visual loss was encountered in a 21-month-old male who underwent tricuspid valve surgery. Despite routine intraoperative measures to maintain an adequate perfusion pressure throughout the procedure, postoperative computed tomography revealed a subacute infarct in his occipital lobe. Recovery began on postoperative day 28, and the patient's vision was restored by 31 days.

Keyword

Blindness; Cardiac surgical procedures; Complications

MeSH Terms

Blindness
Blindness, Cortical
Cardiac Surgical Procedures
Cardiopulmonary Bypass
Child
Natural Resources
Heart
Hemodilution
Humans
Hypothermia
Infant
Male
Occipital Lobe
Oxygen
Perfusion
Postoperative Care
Thoracic Surgery
Tricuspid Valve
Vision, Ocular
Oxygen