Bronchial artery embolization is a procedure that aimed to control bleeding from bronchial arteries in massive hemoptysis and chronic hemoptysis, its considered as live saving measure in severe life threating hemoptysis, although its minimally invasive and with high success rate, it still with risk of complications such as post embolic syndrome (fever, leukocytosis), chest pain, back pain , dysphagia, vascular injury at site of embolization leading to dissection, perforation and pseudoaneurysm, very rare complication is embolic infarction to non-targeted vessels.

Stroke is one of these rare complications post bronchial artery embolization, and it can be severe and fatal, few cases of stroke post BAE were reported in the previous body literature, and they were mainly due to posterior cerebral circulation infarction. 

Here we are reporting another case of stroke post BAE, due to massive middle cerebral artery infarction, and to our knowledge it seems to be the first reported case of MCA infarction post BAE.

Discussion in this case, covers the possible mechanisms of errant embolic passage, outcome of the case and the learning points.