Concurrent Arterial and Venous Thromboembolism While Receiving an Aromatase Inhibitor

A 49-year-old man presented with concurrent and widespread arterial and venous thromboembolism following a recent commencement of aromatase inhibitor therapy. Investigations revealed bilateral renal infarctions, complete occlusion of the superior mesenteric artery, and bilateral pulmonary emboli. He...

Full description

Saved in:
Bibliographic Details
Main Authors: Ibrahim Shahid, Jiwoo Lee, Samko Jamriska, Thuy Le
Format: Article
Language:English
Published: American College of Physicians 2024-08-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0296
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 49-year-old man presented with concurrent and widespread arterial and venous thromboembolism following a recent commencement of aromatase inhibitor therapy. Investigations revealed bilateral renal infarctions, complete occlusion of the superior mesenteric artery, and bilateral pulmonary emboli. He was noted to have heparin resistance when a heparin infusion was started. His treatment was transitioned to enoxaparin twice daily, resulting in a full resolution of symptoms.
ISSN:2767-7664