Watershed infarcts in a patient after carotid endarterectomy
- Resource Type
- Authors
- Fatima Shahzadi; Imranullah Hashmi
- Source
- BMJ case reports. 2012
- Subject
- medicine.medical_specialty
Neurology
medicine.medical_treatment
Hemodynamics
Carotid endarterectomy
Transient ischaemic attacks
Article
Postoperative Complications
Internal medicine
medicine
Humans
Carotid Stenosis
cardiovascular diseases
Stroke
Aged
Endarterectomy, Carotid
business.industry
Cerebral infarction
General Medicine
Cerebral Infarction
Vascular surgery
medicine.disease
Stenosis
Ischemic Attack, Transient
Cardiology
cardiovascular system
Female
Radiology
business
- Language
- ISSN
- 1757-790X
We report a case that developed watershed infarcts after undergoing carotid endarterectomy. Our patient had been having episodes of transient ischaemic attacks before admission. Carotid Doppler scan before admission showed severe unilateral carotid stenosis on left side. She underwent a carotid endarterectomy procedure. Her continuous blood pressure monitoring stayed normal during and after the procedure. One and half hour after the procedure, she developed right arm weakness. CT scan later revealed watershed infarcts in left cerebral hemisphere. The pathogenesis of watershed infarcts remain debated despite haemodynamic and embolic mechanisms being postulated.