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Fibromuscular dysplasia (FMD) is an uncommon finding in the cerebral circulation. We present a case of unsuspected intracranial FMD in a patient dying from a large cerebral infarct following a bypass operation for coarctation of the aorta. The need for recognizing the possible co-existence of these two lesions is emphasized.

Cerebral infarction secondary to unsuspected intracranial fibromuscular dysplasia following bypass of aortic coarctation.