• Users Online: 193
  • Print this page
  • Email this page
CASE REPORT
Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 4

Cerebrovascular accident and mesenteric ischemia following diagnostic coronary angiography


Cardiology Department, Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran, IR Iran

Correspondence Address:
Farahnaz Nikdoust
Cardiology Department, Dr. Shariati Hospital, Tehran University of Medical Sciences, Tehran
IR Iran
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.5812/acvi.3(1)2015.21751

Rights and Permissions

Introduction: Coronary angiography can be complicated by some major complications such as stroke. Case Presentation: We describe a patient who presented with hemiparesia. He had undergone coronary angiography on his right and left coronary arteries as well as his left ventricle (LV) via the radial artery access 10 days earlier using a 6-French Tiger catheter. Transthoracic echocardiography showed a large (36 × 25 mm) inhomogeneous mobile mass attached to the apicoseptal LV segment. His serum protein S was low (60% [normal = 77 - 140%]), while his protein C was normal and lupus anticoagulant was negative. During hospitalization, he developed severe abdominal pain, for which mesenteric ischemia was diagnosed. First, he underwent surgery for the resection of the infarcted intestinal segments. Then cardiac surgery was done to remove the mass. The mass was diagnosed as a thrombus. After the surgery, the general condition of the patient deteriorated and blood culture showed acinetobacter septicemia. Finally, he died due to sepsis. A review of his coronary angiography revealed that after the contrast media had left the LV, there was still dye at the contact point between the tip of the catheter and the LV, which was compatible with the location of thrombus formation. Conclusions: Trauma induced by the tip of the catheter at the contact location with the LV wall in a patient with mild hypercoagulable state accounted for intracardiac thrombosis formation and its embolization to the brain and intestines.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed82    
    Printed11    
    Emailed0    
    PDF Downloaded17    
    Comments [Add]    

Recommend this journal