Intermittent cocaine use associated with recurrent dissection of the thoracic and abdominal aorta.
case_report · Level V
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- Record sourced from PubMed, PMID 7497801.
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Abstract
Acute aortic dissection has been reported with the use of cocaine. We report a case of intermittent cocaine use spanning nearly 5 years and leading to recurrent dissection and extension of the false lumen. The patient repeatedly declined surgical correction. Management involved aggressive pharmacologic blood pressure control, close monitoring, and encouragement to enter drug rehabilitation.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm
- Cocaine
- Substance-Related Disorders