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58 year old man The patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft. He did well post-op and then he noticed when he got out of the hospital that the right eye was worse. The right eye had been weaker than the left even after LASIK in the early 2000s. Over the last 7 days now that he has noticed that the right eye is getting better each day. He is on coumadin and will be on it for 3 months. He noticed 10 days ago that there was some graying in the right eye which is now getting a little bit better. Medical Hx: Kidney Disease. type 1 aortic dissection / aneurysm . Surgical Hx: thoracotomy . valve replacement . aortic graft. Systemic Meds: Wellbutrin XL 150 MG 24 HR Extended Release Tablet. Coumadin 3 MG Oral Tablet. METOPROLOL TARTRATE. Simvastatin, 20 mg oral tablet. VA OD: Dsc20/20-2 NccJ5 VA OS: Dsc20/16-1 NccJ2 IOP: TP: OD:12 OS:11

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Cotton Wool Spots following cardio-pulmonary bypass121 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_02.jpg
Cotton Wool Spots following cardio-pulmonary bypass110 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_04.jpg
Cotton Wool Spots following cardio-pulmonary bypass110 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_01.jpg
Cotton Wool Spots following cardio-pulmonary bypass85 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_05.jpg
Cotton Wool Spots following cardio-pulmonary bypass88 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_06.jpg
Cotton Wool Spots following cardio-pulmonary bypass97 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_07.jpg
Cotton Wool Spots following cardio-pulmonary bypass89 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_08.jpg
Cotton Wool Spots following cardio-pulmonary bypass70 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_09.jpg
Cotton Wool Spots following cardio-pulmonary bypass79 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_10.jpg
Cotton Wool Spots following cardio-pulmonary bypass130 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_11.jpg
Cotton Wool Spots following cardio-pulmonary bypass91 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_12.jpg
Cotton Wool Spots following cardio-pulmonary bypass122 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_13.jpg
Cotton Wool Spots following cardio-pulmonary bypass65 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_14.jpg
Cotton Wool Spots following cardio-pulmonary bypass87 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_15.jpg
Cotton Wool Spots following cardio-pulmonary bypass95 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_16.jpg
Cotton Wool Spots following cardio-pulmonary bypass93 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_17.jpg
Cotton Wool Spots following cardio-pulmonary bypass128 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_18.jpg
Cotton Wool Spots following cardio-pulmonary bypass100 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_19.jpg
Cotton Wool Spots following cardio-pulmonary bypass77 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
CWS_postAorticDissection_125569_060625_20.jpg
Cotton Wool Spots following cardio-pulmonary bypass78 viewsThe patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft.00000
(0 votes)
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58 year old man The patient had emergency thoracotomy about 3 weeks ago he had an aortic dissection with a root aneurysm. It had dissected down to the iliacs. The patient had a thoracotomy and aortic valve replacement and large aortic graft. He did well post-op and then he noticed when he got out of the hospital that the right eye was worse. The right eye had been weaker than the left even after LASIK in the early 2000s. Over the last 7 days now that he has noticed that the right eye is getting better each day. He is on coumadin and will be on it for 3 months. He noticed 10 days ago that there was some graying in the right eye which is now getting a little bit better. Medical Hx: Kidney Disease. type 1 aortic dissection / aneurysm . Surgical Hx: thoracotomy . valve replacement . aortic graft. Systemic Meds: Wellbutrin XL 150 MG 24 HR Extended Release Tablet. Coumadin 3 MG Oral Tablet. METOPROLOL TARTRATE. Simvastatin, 20 mg oral tablet. VA OD: Dsc20/20-2 NccJ5 VA OS: Dsc20/16-1 NccJ2 IOP: TP: OD:12 OS:11