A 12-year-old girl with aortic valvular stenosis underwent transcatheter balloon aortic valvuloplasty (BAV) using a femoral
artery approach. Anticoagulation with heparin during the procedure was used. The patient noted sudden onset of concentric
constriction of the visual field in the right eye 40 min after BAV. Brain magnetic resonance imaging and cervical ultrasound
revealed no abnormality. Funduscopic examination showed white swelling around the macular region, indicating ischemia, consistent
with central retinal artery occlusion (CRAO). CRAO should be recognized as a rare and serious complication associated with
BAV even among the pediatric population. This requires careful evaluation of anticoagulation during the left heart procedures.
Keywords Central retinal artery occlusion - Balloon arterial valvotomy - Congenital aortic stenosis