• Chest · Dec 1995

    Case Reports

    Intermittent cocaine use associated with recurrent dissection of the thoracic and abdominal aorta.

    • R A Chang and N F Rossi.
    • Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA.
    • Chest. 1995 Dec 1; 108 (6): 175817621758-62.

    AbstractAcute 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.

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