Dissection of the aorta and coronary arteries associated with acute cocaine intoxication.

Cohle, S D; Lie, J T · Arch Pathol Lab Med · 1992

case_report · Level V

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Abstract

Acute myocardial ischemia, cardiac arrhythmias, and conduction disturbances are the most common cardiovascular complications of cocaine and its alkaloidal freebase "crack." Cocaine abuse-related acute aortic dissection has been reported only rarely: three cases in the last 5 years. Described herein, to our knowledge, is the first case of cocaine intoxication-associated acute aortic dissection that also involved the coronary arteries, causing sudden death.

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