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Ann Thorac Surg 2001;71:340-341
© 2001 The Society of Thoracic Surgeons

Case report

Cocaine abuse and coronary artery dissection

Khalid E. Eskander, MDa, Neil S. Brass, MDb, Elliot T. Gelfand, MDa

a Division of Cardiothoracic Surgery, University of Alberta, Edmonton, Alberta, Canada
b Division of Cardiology, University of Alberta, Edmonton, Alberta, Canada

Accepted for publication March 3, 2000.

Address reprint requests to Dr Gelfand, 3H2.11 Walter Mackenzie Health Sciences Center, University of Alberta Hospitals, 8440–112 St, Edmonton, Alberta, Canada T6G 2B7
e-mail: egelfand{at}cha.ab.ca

A 33-year-old man with a history of recent cocaine use presented with dissection of the left main coronary artery extending distally to involve the left anterior descending (LAD) and circumflex arteries. He required emergency four-vessel aortocoronary bypass, which was uncomplicated.




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