Patent foramen ovale-induced retinal artery occlusion: Evidence for in situ Thromobosis

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

International journal of cardiology. Congenital heart disease Pub Date : 2024-11-14 DOI:10.1016/j.ijcchd.2024.100551

Junfang Shi , Baiqiang Wang , Weida Lu , Xiao Meng

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Abstract

Background

To report one young man suffered from retinal artery occlusion (RAO) due to patent foramen ovale (PFO).

Objective

The aim of this study was to assess the mechanism for RAO in a patient with a PFO.

Method

A 35-year-old male who developed RAO was studied. He received transoesophageal echocardiography and a right-to-left shunt across of a PFO was found. Then, the patient was scheduled for percutaneous PFO closure. An optical coherence tomography (OCT) catheter was positioned into the PFO tunnel and the microstructure of PFO was observed. We found that there were several white thrombi in the tunnel; the PFO was successfully closed. At 10-month follow-up, the patient recovered well and had no new retinal artery occlusion or stroke.

Conclusions

PFO was the site of thrombus formation in our case of RAO as confirmed by OCT. PFO should be considered in young patients diagnosed with RAO with no other risk factors.

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卵圆孔未闭引起的视网膜动脉闭塞：原位血栓形成的证据

背景报告一年轻男性因卵圆孔未闭（PFO）导致视网膜动脉闭塞（RAO）。目的本研究的目的是评估PFO患者的RAO机制。方法对1例35岁男性RAO患者进行研究。他接受了经食管超声心动图检查，发现右至左分流穿过PFO。然后，安排患者进行经皮PFO闭合。将光学相干断层扫描（OCT）导管置入PFO隧道，观察PFO的微观结构。我们发现隧道内有几个白色血栓；PFO关闭成功。随访10个月，患者恢复良好，无新的视网膜动脉闭塞或中风。结论经oct证实，本组RAO患者血栓形成部位为spfo，无其他危险因素的年轻RAO患者应考虑PFO。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of cardiology. Congenital heart disease Cardiology and Cardiovascular Medicine

自引率

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发文量

审稿时长

83 days