Uncommon Case of Cocaine-Induced Aortic Aneurysm: A Close to Dissection Occasion.

Case Rep Cardiol. 2017;2017:1785410

Authors: Kunwor R, Canelas A

Summary
Cocaine use has been related to cardiovascular problems corresponding to coronary atherosclerosis, coronary artery spasm, cardiac arrhythmias, acute myocardial infarction, myocarditis, and dilated cardiomyopathies. Aortic dissection is a uncommon however life-threatening complication of cocaine use. Cocaine and stimulant use could cause aortic aneurysm by rising the aortic wall stress, and probably the most feared problems are dissection, rupture, and demise. There are not any clear tips about screening cocaine abusers with CT scan of the chest. We have no idea if the variety of years of cocaine use or the quantity of cocaine use might be related to greater incidence of aortic aneurysm or dissection. Cocaine-induced aortic aneurysm doesn’t have any particular medical function. Widespread presentation is chest discomfort or chest ache. This widespread presentation is bewildering sufficient for clinicians to consider extra widespread causes of chest ache like myocardial infarction and myocarditis. The sudden onset of extreme, sharp, stabbing chest or again ache is suggestive of aortic dissection. Right here, we current a younger in any other case wholesome affected person with power cocaine use presenting with chest ache and located to have important dimension aortic aneurysm.

PMID: 29387491 [PubMed]