{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:37:10Z","timestamp":1747190230920,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T00:00:00Z","timestamp":1583884800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2020,3,11]]},"abstract":"<jats:p>Acute visual loss is rarely caused by a heart condition. This manuscript transcribes a case report of a 36-year-old patient with a 2-year history of aortic valve replacement due to bicuspid aortic valve endocarditis that presents to the emergency department with an acute right eye visual loss. After ophthalmologic investigation identified a central retinal artery occlusion, a transthoracic echocardiography was performed to search for a possible cardiac embolus, despite the patient presenting INR values of 2-2.5 for the last year. A mitral-aortic intervalvular fibrosa pseudoaneurysm was identified. A transoesophageal echocardiography was then performed, identifying a small clot logged inside the pseudoaneurysm that protruded to the left ventricle outflow tract. After INR-adjusted warfarin treatment to levels between 3 and 4, the pseudoaneurysm was surgically closed. This is a rare case since the likely source of embolism to the central retinal artery was the thrombus logged inside the pseudoaneurysm despite a standardly accepted therapeutic INR.<\/jats:p>","DOI":"10.1155\/2020\/3192957","type":"journal-article","created":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T19:30:44Z","timestamp":1583955044000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["A Cardiac Pseudoaneurysm as a Thromboembolic Source: Acute Visual Loss due to Cardiac Emboli"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3175-3673","authenticated-orcid":true,"given":"Fernando Montenegro","family":"S\u00e1","sequence":"first","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara I. L.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita J. R.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds M. G.","family":"Santos","sequence":"additional","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 A. S.","family":"Antunes","sequence":"additional","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana M.","family":"Guardado","sequence":"additional","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o C. A.","family":"Morais","sequence":"additional","affiliation":[{"name":"Cardiology Department, Leiria Hospital Center, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)00326-l"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2010.07.015"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv319"},{"issue":"12","key":"4","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1016\/S0300-8932(05)74079-3","volume":"58","year":"2005","journal-title":"Revista Espa\u00f1ola de Cardiolog\u00eda"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(98)00290-3"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.case.2017.07.001"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.55352"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2010.02280.x"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/3192957.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/3192957.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/3192957.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,11]],"date-time":"2020-03-11T19:30:45Z","timestamp":1583955045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2020\/3192957\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,11]]},"references-count":8,"alternative-id":["3192957","3192957"],"URL":"https:\/\/doi.org\/10.1155\/2020\/3192957","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"type":"print","value":"2090-6404"},{"type":"electronic","value":"2090-6412"}],"subject":[],"published":{"date-parts":[[2020,3,11]]}}}