Key result
A 62-year-old man developed fatal total thrombosis of the basilar artery and posterior cerebral arteries following emergency coronary artery bypass grafting.
Case Report (n=1)
No
This case highlights a rare instance of fatal basilar arterial thrombosis following emergency cardiac surgery, emphasizing the potential role of undiagnosed malignancies in unusual thrombotic events.
Highlights rare fatal basilar thrombosis with occult prostate cancer post-cardiac surgery; hypothesis-generating and should not change practice.
Objective: A correct valuation of risk factors and monitoring of the patient before and during cardiac procedure will reduce the incidence and the severity of central nervous system complications in particularly in emergency procedure. Cerebral arterial thrombosis is an uncommon presentation in cardiac surgery (frequency varies since 1.5% to 6 %). The number of emboli signals is significantly higher in the anterior circulation than the posterior. We reported a case of 62 year-old-man presenting a state of unconsciousness, tetra-paresis and facial paresis after cardiac surgery procedure. Computed-Tomography angiography revealed a big wormlike thrombus in the basilar artery and posterior cerebral arteries. There are no previous reports of total thrombosis of basilar artery after cardiac surgery.
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A 2016 study conducted a case report in Basilar arterial thrombosis after cardiac surgery (n=1). Emergency coronary artery bypass grafting was evaluated on Fatal basilar arterial thrombosis. A 62-year-old man developed fatal total thrombosis of the basilar artery and posterior cerebral arteries following emergency coronary artery bypass grafting.
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