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Int J Angiol 2023; 32(04): 250-252
DOI: 10.1055/s-0041-1725182
Case Report

Repeated Cerebral Infarction Immediately after Bypass Graft Angiography: A Case Report

Masaki Monden
1   Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
,
Nobuhiro Murata
1   Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
,
Kurara Takahashi
1   Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
,
Daisuke Fukamachi
1   Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
,
Yasuo Okumura
1   Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan
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Abstract

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


Publication History

Article published online:
11 March 2021

© 2021. International College of Angiology. This article is published by Thieme.

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