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08:08
Cardiopulmonary Bypass in a Mouse Model: A Novel Approach
Published on: September 22, 2017
Cardiopulmonary bypass in a glaucoma patient
Jaswinder Singh1, Rajinder Singh Dhaliwal, Debasis Das
1Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drjaswindersingh@yahoo.co.in
The Journal of Extra-Corporeal Technology
|May 10, 2007
Summary
Cardiopulmonary bypass (CPB) for atrial septal defects in patients with glaucoma is feasible. This case study shows no vision change after surgery, highlighting safe intraocular pressure management during CPB.
Area of Science:
- Ophthalmology
- Cardiothoracic Surgery
- Medical Devices
Background:
- Congenital glaucoma poses risks during cardiopulmonary bypass (CPB).
- Atrial septal defects (ASDs) require surgical intervention when device closure is not an option.
- Managing intraocular pressure (IOP) during CPB is critical for patients with glaucoma.
Observation:
- A patient with congenital glaucoma and an ostium secundum ASD, unsuitable for device closure, was considered for surgical repair.
- The patient had pre-existing visual impairment in both eyes due to glaucoma.
- Intraoperative monitoring of intraocular pressure (IOP) was implemented during the procedure.
Findings:
- Direct closure of the ASD was successfully performed under CPB with fibrillatory arrest.
- No alteration in the patient's visual acuity was observed post-surgery.
- One-year follow-up confirmed sustained visual stability.
Implications:
- This case demonstrates the safety and efficacy of CPB in patients with glaucoma.
- Effective IOP management strategies during CPB can preserve visual function.
- Surgical closure of ASDs is a viable option for glaucoma patients when device closure fails.
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