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The Annals of Thoracic Surgery, Vol 56, 977-979, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Chronic type A aortic dissection: an unusual complication of cocaine inhalation

MS Adkins, WE Gaines, WA Anderson, GW Laub, J Fernandez and LB McGrath
Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.

Acute aortic pathology temporally related to cocaine inhalation may lead to frank rupture or acute aortic dissection. This is a report of an unusual case of a 43-year-old man who presented 9 weeks after experiencing a tearing sensation in his chest while smoking cocaine. The diagnosis was chronic type A aortic dissection with 4+ aortic insufficiency. The successful surgical management included resuspension of the aortic valve and placement of a Dacron tube graft in the ascending aorta such that flow was maintained distally in both the true and false lumens.

This article has been cited by other articles:

				F. J. Baumgartner and B. O. Omari Method of Repair of Cocaine-Induced Chronic Type A Aortic Dissection Ann. Thorac. Surg., November 1, 1997; 64 (5): 1518 - 1519. [Full Text]