Journal of Vascular Surgery
Volume 46, Issue 3 , Pages 427-433 , September 2007

Acute aortic dissection associated with use of cocaine

  • Jonathan C. Daniel, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Michael E. DeBakey VA Medical Center, Houston, Tex
    • ,
  • Tam T. Huynh, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Michael E. DeBakey VA Medical Center, Houston, Tex
    • ,
  • Wei Zhou, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Michael E. DeBakey VA Medical Center, Houston, Tex
    • ,
  • Panagiotis Kougias, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Michael E. DeBakey VA Medical Center, Houston, Tex
    • ,
  • Hosam F. El Sayed, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Michael E. DeBakey VA Medical Center, Houston, Tex
    • ,
  • Joseph Huh, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Texas Heart Institute at St., Luke’s Episcopal Hospital, Houston, Tex.
    • ,
  • Joseph S. Coselli, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Texas Heart Institute at St., Luke’s Episcopal Hospital, Houston, Tex.
    • ,
  • Peter H. Lin, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, and the Michael E. DeBakey VA Medical Center, Houston, Tex
    • Corresponding Author InformationReprint requests: Peter H. Lin, MD, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston VAMC, 2002 Holcomb Blvd, Houston, TX 77030.

Received 13 February 2007 ,Accepted 15 May 2007.

References 

  1. Heath DB. Coca in the Andes: traditions, functions and problems. R I Med J. 1990;73:237–241
  2. Vasica G, Tennant CC. Cocaine use and cardiovascular complications. Med J Aust. 2002;177:260–262
  3. Hollander JE, Henry TD. Evaluation and management of the patient who has cocaine-associated chest pain. Cardiol Clin. 2006;24:103–114
  4. Shanti CM, Lucas CE. Cocaine and the critical care challenge. Crit Care Med. 2003;31:1851–1859
  5. Kloner RA, Hale S, Alker K, Rezkalla S. The effects of acute and chronic cocaine use on the heart. Circulation. 1992;85:407–419
  6. Lange RA, Hillis LD. Cardiovascular complications of cocaine use. N Engl J Med. 2001;345:351–358
  7. Minor RL, Scott BD, Brown DD, Winniford MD. Cocaine-induced myocardial infarction in patients with normal coronary arteries. Ann Intern Med. 1991;115:797–806
  8. Rashid J, Eisenberg MJ, Topol EJ. Cocaine-induced aortic dissection. Am Heart J. 1996;132:1301–1304
  9. DeBakey ME, McCollum CH, Crawford ES, Morris GC, Howell J, Noon GP, et al. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery. 1982;92:1118–1134
  10. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283:897–903
  11. Lange RA, Cigarroa RG, Flores ED, McBride W, Kim AS, Wells PJ, et al. Potentiation of cocaine-induced coronary vasoconstriction by beta-adrenergic blockade. Ann Intern Med. 1990;112:897–903
  12. Wilbert-Lampen U, Seliger C, Zilker T, Arendt RM. Cocaine increases the endothelial release of immunoreactive endothelin and its concentrations in human plasma and urine: reversal by coincubation with sigma-receptor antagonists. Circulation. 1998;98:385–390
  13. Zhou W, Lin PH, Bush RL, Nguyen L, Lumsden AB. Acute arterial thrombosis associated with cocaine abuse. J Vasc Surg. 2004;40:291–295
  14. Palmiere C, Burkhardt S, Staub C, Hallenbarter M, Paolo Pizzolato G, Dettmeyer R, et al. Thoracic aortic dissection associated with cocaine abuse. Forensic Sci Int. 2004;141:137–142
  15. Adkins MS, Gaines WE, Anderson WA, Laub GW, Fernandez J, McGrath LB. Chronic type A aortic dissection: an unusual complication of cocaine inhalation. Ann Thorac Surg. 1993;56:977–979
  16. Barth CW, Bray M, Roberts WC. Rupture of the ascending aorta during cocaine intoxication. Am J Cardiol. 1986;57:496
  17. Chang RA, Rossi NF. Intermittent cocaine use associated with recurrent dissection of the thoracic and abdominal aorta. Chest. 1995;108:1758–1762
  18. Hsue PY, Salinas CL, Bolger AF, Benowitz NL, Waters DD. Acute aortic dissection related to crack cocaine. Circulation. 2002;105:1592–1595
  19. Gotway MB, Marder SR, Hanks DK, Leung JW, Dawn SK, Gean AD, et al. Thoracic complications of illicit drug use: an organ system approach. Radiographics. 2002;22:Spec No:S119-35
  20. Kissner DG, Lawrence WD, Selis JE, Flint A. Crack lung: pulmonary disease caused by cocaine abuse. Am Rev Respir Dis. 1987;136:1250–1252
  21. Baldwin GC, Buckley DM, Roth MD, Kleerup EC, Tashkin DP. Acute activation of circulating polymorphonuclear neutrophils following in vivo administration of cocaine (A potential etiology for pulmonary injury). Chest. 1997;111:698–705
  22. Baldwin GC, Choi R, Roth MD, Shay AH, Kleerup EC, Simmons MS, et al. Evidence of chronic damage to the pulmonary microcirculation in habitual users of alkaloidal (“crack”) cocaine. Chest. 2002;121:1231–1238
  23. Haim DY, Lippmann ML, Goldberg SK, Walkenstein MD. The pulmonary complications of crack cocaine (A comprehensive review). Chest. 1995;107:233–240
  24. Hoffman CK, Goodman PC. Pulmonary edema in cocaine smokers. Radiology. 1989;172:463–465
  25. Li XX, Wang SM, Chen W, Zhuang WQ, Wu ZH, Chang GQ, et al. Endovascular stent-graft repair of aortic dissection. Asian Cardiovasc Thorac Ann. 2004;12:99–102
  26. Shimazaki T, Ishimaru S, Kawaguchi S, Yokoi Y, Watanabe Y. Stent-graft entry closure and balloon fenestration for a case of aortic dissection accompanied by organ malperfusion. J Thorac Cardiovasc Surg. 2001;121:1216–1218
  27. Fann JI, Miller DC. Endovascular treatment of descending thoracic aortic aneurysms and dissections. Surg Clin North Am. 1999;79:551–574

 Competition of interest: none.

 CME article

PII: S0741-5214(07)00969-X

doi: 10.1016/j.jvs.2007.05.040

Journal of Vascular Surgery
Volume 46, Issue 3 , Pages 427-433 , September 2007

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