Intracranial embolization most commonly arises from the carotid arteries, the heart, the aorta, the vertebrobasilar circulation, or—less frequently—via retrograde embolization from the left distal subclavian artery. We report the case of a woman who developed acute right eye strabismus (exotropia), headache, and nausea, without additional neurological deficits, immediately after undergoing hybrid surgery (thrombectomy with angioplasty) for a subclavian arterio-arterial loop graft. This case represents a rare instance of postoperative intracranial ischemic infarction, potentially linked to an underlying thrombophilic state.
Key words: Graft, hemodialysis, exotropia
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