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A rare case of marijuana associated with ascending aorta thrombosis complicated with stroke and bilateral renal infarcts
Authors:Iyad Farouji  Kok Hoe Chan  Arwa Battah  Hossam Abed  Theodore DaCosta  Joaquim Correia  Addi Suleiman
Institution:aDepartment of Medical Education, Saint Michael''s Medical Center, New York Medical College, Newark, USA;bDepartment of Hematology and Oncology, University of Texas, Houston, USA;cDepartment of Gastroenterology, Saint Michael''s Medical Center, New York Medical College, Newark, USA;dDepartment of Cardiology, Saint Michael''s Medical Center, New York Medical College, Newark, USA
Abstract:Ascending aortic is an uncommon site for arterial thrombosis and ascending aortic thrombosis is a very rare phenomenon with a high fatality rate. Marijuana is the most commonly used psychoactive drug in the United States and a few cases have been reported on the association of marijuana with vascular thromboembolism. However, the pathophysiology and exact mechanism are still not well studied. Herein, we present a case of a 44-year-old female with active marijuana use presented with ascending aortic thrombus associated with acute arterial occlusion of the right vertebral artery and bilateral renal artery. The unique part of this case is that the patient did not have the classical risk factors for vascular thromboembolic disease. The only risk factor was marijuana smoking. To our best knowledge, this is one of the unique cases of marijuana-associated with ascending aorta thrombosis.
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