Multiple arterial thrombosis

Bleeding following any injury is due to damaged blood vessel and is usually kept in check by a process called hemostasis. At times, this process may be abnormally affected by pathological factors or causes subsequently leading to thrombus formation and occlusion of blood vessels. It can affect either arteries or veins. The events in the pathogenesis of thrombosis occur in a vicious cycle. We report a case of 38-year-old male with multiple arterial thrombosis involving brachial artery, common carotid artery, and main pulmonary artery. He had raised hemoglobin, hematocrit, mean corpuscular volume, and mean corpuscular hemoglobin on presentation. He was successfully treated with injection alteplase (recombinant tissue plasminogen activator), injection enoxaparin, and dual oral antiplatelet therapy.