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Document Details : Title: Transient cortical blindness and successful recovery after coronary bypass surgery Author(s): K. Tasdemir , C. Evereklioglu , M.G. Kaya Journal: Acta Cardiologica Volume: 66 Issue: 5 Date: 2011 Pages: 661-664 DOI: 10.2143/AC.66.5.2131096 Abstract : Left ventricular injury has a bad prognosis, especially when a coronary artery is involved. After perforation of the left cardiac ventricle by a knife, a 19-year-old male patient presented with: (i) complete bilateral visual loss; (ii) left anterior descending (LAD) artery injury; (iii) severe systemic hypotension. Under emergency conditions and cardiopulmonary bypass, the LAD artery was revascularized by a saphenous vein graft. Bilateral blindness recovered within several days. Cerebral hypoxia as a result of severe systemic hypotension was the most likely underlying mechanism. |