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Ann Thorac Surg 1993;56:977-979
© 1993 The Society of Thoracic Surgeons

Articles

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

Mark S. Adkins, MD*,a,b, Wayne E. Gaines, MDa,b, William A. Anderson, MDa,b, Glenn W. Laub, MDa,b, Javier Fernandez, MDa,b, Lynn B. McGrath, MDa,b

a Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey USA
b UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey USA

Accepted for publication January 19, 1993.

* Address reprint requests to Dr Adkins, Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, 200 Trenton Rd, Browns Mills, NJ 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.




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[Full Text]


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