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Case Reports
. 2021 Nov 7;17(1):119-123.
doi: 10.1016/j.radcr.2021.10.013. eCollection 2022 Jan.

A rare case of marijuana associated with ascending aorta thrombosis complicated with stroke and bilateral renal infarcts

Iyad Farouji  1 , Kok Hoe Chan  2 , Arwa Battah  1 , Hossam Abed  1 , Theodore DaCosta  1   3 , Joaquim Correia  1   4 , Addi Suleiman  1   4
Affiliations
Case Reports

A rare case of marijuana associated with ascending aorta thrombosis complicated with stroke and bilateral renal infarcts

Iyad Farouji et al. Radiol Case Rep. .

Erratum in

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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Figures

Fig 1
Fig. 1
CTA of the head, a three-dimensional reconstruction image, showing a complete occlusion of the right vertebral artery, segment V4.
Fig 2
Fig. 2
CTA of the head and neck, showing a complete occlusion of the right vertebral artery, segment V4 (axial view).
Fig 3
Fig. 3
CTA of the head and neck, showing a complete occlusion of the right vertebral artery, segment V4 (coronal view).
Fig 4
Fig. 4
CT of the lower abdomen and pelvis showing right lower lobe kidney infarcts (coronal view).
Fig 5
Fig. 5
CT of the lower abdomen and pelvis showing right lower lobe kidney infarcts (sagittal view).
Fig 6
Fig. 6
CTA of the chest showing an intramural thrombus of the ascending aorta (axial view).
See this image and copyright information in PMC

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