Author/Authors :
Mazek, Haitham Internal Medicine Department - Texas Tech University Health Sciences Center, Lubbock, USA , Sherif, Khaled Internal Medicine Department - Texas Tech University Health Sciences Center, Lubbock, USA , Suarez, Jose Internal Medicine Department - Texas Tech University Health Sciences Center, Lubbock, USA , Wischmeyer, Jason Internal Medicine Department - Texas Tech University Health Sciences Center, Lubbock, USA
Abstract :
Coronary angiography is the golden choice for coronary artery disease evaluation and management. However, as with any invasive
procedures, there is a risk of complications. We are reporting a case of 69-year-old male with past medical history of cardiac bypass
surgery, CHF, hypertension, and hyperlipidemia who was admitted to the hospital to evaluate his chest pain. He had treadmill stress
test that showed ischemic induced exercise. Patient underwent coronary angiography that showed proximal complete occlusion of
the RCA with a patent graft. At the end of the procedure, the patient did not wake up and remained minimally responsive. An urgent
brain MRI was ordered and showed infarctions consistent with an artery of Percheron infarction. Later, patient has improved slowly
and was discharged home. We briefly here discuss this rare complication including the risk factor, clinical presentation, and the
management.
