一例罕见的大麻引发升主动脉血栓形成并伴有中风和双侧肾梗死的病例。
A rare case of marijuana associated with ascending aorta thrombosis complicated with stroke and bilateral renal infarcts.
作者信息
Farouji Iyad, Chan Kok Hoe, Battah Arwa, Abed Hossam, DaCosta Theodore, Correia Joaquim, Suleiman Addi
机构信息
Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, USA.
Department of Hematology and Oncology, University of Texas, Houston, USA.
出版信息
Radiol Case Rep. 2021 Nov 7;17(1):119-123. doi: 10.1016/j.radcr.2021.10.013. eCollection 2022 Jan.
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.
升主动脉是动脉血栓形成的罕见部位，升主动脉血栓形成是一种非常罕见的现象，死亡率很高。大麻是美国最常用的精神活性药物，已有少数病例报道大麻与血管血栓栓塞有关。然而，其病理生理学和确切机制仍未得到充分研究。在此，我们报告一例44岁有大麻使用史的女性，出现升主动脉血栓，伴有右椎动脉和双侧肾动脉急性动脉闭塞。该病例的独特之处在于患者没有血管血栓栓塞性疾病的典型危险因素。唯一的危险因素是吸食大麻。据我们所知，这是大麻相关升主动脉血栓形成的独特病例之一。
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