Paraplegia during coronary artery bypass graft surgery caused by bilateral anterior cerebral artery territory infarction

Paraplegia is a rare complication after coronary artery bypass graft (CABG) surgery mostly caused by spinal cord ischemia. Even rarer is the paraplegia following infarction involving both anterior cerebral artery (ACA) territories caused by embolism during coronary artery bypass graft surgery. This case has become even more interesting as cerebral vasculature involving internal carotid and anterior cerebral arteries was absolutely normal.