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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.