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Ann Thorac Surg 1989;48:275-279
© 1989 The Society of Thoracic Surgeons

Articles

Symptomatic visual deficits after open heart operations

David M. Shahian, MD*,a,b, Peter K. Speert, MDa,b

a Departments of Thoracic and Cardiovascular Surgery and Ophthalmology, Lahey Clinic Medical Center, Burlington, Massachusetts, USA
b Division of Thoracic and Cardiovascular Surgery, New England Deaconess Hospital, Boston, Massachusetts USA

Accepted for publication April 6, 1989.

* Address reprint requests to Dr Shahian, Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805.

Symptomatic visual deficits occurred in 4 patients in a series of 700 open heart operations performed by one of us (D.M.S.). The causes of these deficits were retinal emboli, occipital lobe infarction, and anterior ischemic optic neuropathy. The pathophysiology and clinical presentation of these complications are discussed, and previous reports of postoperative visual complications are reviewed.




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