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

Iyad Farouji, MD; Kok Hoe Chan, MD; Arwa Battah, MD; Hossam Abed, MD; Theodore DaCosta, DO; Joaquim Correia, MD; Addi Suleiman, MD

Radiology Case Reports (Jan 2022)

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

Iyad Farouji, MD,
Kok Hoe Chan, MD,
Arwa Battah, MD,
Hossam Abed, MD,
Theodore DaCosta, DO,
Joaquim Correia, MD,
Addi Suleiman, MD

Affiliations

Iyad Farouji, MD: Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA; Corresponding author.
Kok Hoe Chan, MD: Department of Hematology and Oncology, University of Texas, Houston, USA
Arwa Battah, MD: Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA
Hossam Abed, MD: Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA
Theodore DaCosta, DO: Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA; Department of Gastroenterology, Saint Michael's Medical Center, New York Medical College, Newark, USA
Joaquim Correia, MD: Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA; Department of Cardiology, Saint Michael's Medical Center, New York Medical College, Newark, USA
Addi Suleiman, MD: Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA; Department of Cardiology, Saint Michael's Medical Center, New York Medical College, Newark, USA

Journal volume & issue: Vol. 17, no. 1
pp. 119 – 123

Abstract

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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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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