Chiasmal stroke following open-heart surgery

J Neuroophthalmol. 2010 Sep;30(3):219-21. doi: 10.1097/WNO.0b013e3181e4de97.


A 62-year-old man awoke from aortic valve replacement surgery with a total loss of vision in his right eye and a temporal visual field defect in his left eye. Automated visual field examination confirmed a right-sided anterior junction syndrome, and a right-sided chiasmal infarct was demonstrated by MRI. Although rare, chiasmal stroke is a potential complication of open-heart surgery.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Surgical Procedures / adverse effects*
  • Humans
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Optic Chiasm / physiopathology*
  • Stroke / etiology*
  • Stroke / pathology*
  • Tomography, X-Ray Computed / methods
  • Visual Acuity / physiology
  • Visual Perception / physiology