Document Detail

Calcium emboli to the retinal artery in calcific aortic stenosis.
MedLine Citation:
PMID:  7457337     Owner:  NLM     Status:  MEDLINE    
It is generally appreciated in the cardiovascular literature that calcium emboli to a central retinal artery or its branches may be the presenting feature of otherwise uncomplicated calcific aortic stenosis. The ophthalmologic literature provides good evidence for this point. Over a 7-month period, four such cases have come to our attention. Other potential sources of emboli were excluded by standard noninvasive and invasive diagnostic techniques, and two patients underwent successful aortic valve replacement. Previous studies of calcific aortic stenosis have demonstrated postmortem histologic evidence of calcium emboli to various organs, for example, heart, kidney, or brain. Since these emboli are small, their occurrence is clinically silent. The retinal circulation is unique in that its occlusion by a calcium microembolus results in loss of vision, and this symptom may be a clue to the presence of calcific aortic stenosis.
L B Brockmeier; R J Adolph; B W Gustin; J C Holmes; J G Sacks
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  101     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1981 Jan 
Date Detail:
Created Date:  1981-03-17     Completed Date:  1981-03-17     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  32-7     Citation Subset:  AIM; IM    
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MeSH Terms
Aortic Valve Stenosis / complications*
Blindness / etiology
Calcinosis / complications*
Cerebrovascular Disorders / etiology
Embolism / complications*,  diagnosis,  therapy
Middle Aged
Retinal Artery / physiopathology*
Retinal Diseases / etiology
Reg. No./Substance:

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