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The Artery of Percheron Infarction after Coronary Angiography

Haitham Mazek1, Khaled Sherif1, Jose Suarez1

  • 1Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.

Case Reports in Cardiology
|May 24, 2016
PubMed

Insights

Coronary angiography, a key procedure for coronary artery disease, can rarely cause artery of Percheron infarction. This case highlights a rare complication following the evaluation of chest pain in a patient with prior cardiac surgery.

Area of Science:

  • Cardiology
  • Neurology
  • Interventional Cardiology

Background:

  • Coronary angiography is the gold standard for diagnosing coronary artery disease (CAD).
  • Despite its efficacy, invasive procedures carry inherent risks of complications.
  • Complications, though rare, necessitate prompt recognition and management.

Purpose of the Study:

  • To report a rare case of artery of Percheron infarction following coronary angiography.
  • To discuss the risk factors, clinical presentation, and management of this specific complication.
  • To increase awareness among clinicians regarding potential neurological sequelae of cardiac procedures.

Main Methods:

  • A case report of a 69-year-old male patient presenting with chest pain.
  • Diagnostic workup included treadmill stress testing and coronary angiography.
  • Neurological assessment with urgent brain MRI to investigate altered consciousness post-procedure.

Main Results:

  • Coronary angiography revealed a proximal complete occlusion of the right coronary artery (RCA) with a patent graft.
  • Post-procedure, the patient experienced minimally responsiveness, indicative of neurological compromise.
  • Brain MRI confirmed artery of Percheron infarction, a rare type of ischemic stroke.

Conclusions:

  • Artery of Percheron infarction is a rare but serious complication that can occur after coronary angiography.
  • Prompt neurological imaging is crucial for diagnosing such events.
  • Understanding risk factors and clinical presentation aids in timely management and improved patient outcomes.

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