A cerebral infarction (CI) is a common complication of coronary angiography (CAG);
however, repeated CIs in the immediate period after a CAG have not been reported yet.
The patient in the present study experienced left upper quadrant blindness immediately
after internal thoracic arteriography, and magnetic resonance imaging (MRI) showed
a high-intensity area in the right occipital lobe. Despite the administration of antithrombotic
therapy, the patient became transiently comatose for 6 hours. MRI showed a new high-intensity
area in the left thalamus. A noninvasive assessment should be considered before internal
thoracic arteriography to prevent the risk of complications.
Keywords
anticoagulation - artery - cardiac catheterization - cardiac surgery - stroke - guiding
catheter - atherosclerosis
