Gadaleta D, Hall M H, Nelson R L
Department of Surgery, North Shore University Hospital-Cornell University Medical College, Manhasset, NY 11030.
Chest. 1989 Nov;96(5):1203-5. doi: 10.1378/chest.96.5.1203.
While cocaine-induced myocardial infarction has been frequently documented, the differential diagnosis of chest pain should include aortic pathology. The successful management of acute aortic dissection secondary to cocaine abuse has not been previously reported to our knowledge. In a 45-year-old man who presented with typical chest pain and wide mediastinum, the successful management of this disease included early and accurate diagnosis and replacement of the aortic valve as well as the torn portion of the ascending aorta.
虽然可卡因诱发的心肌梗死已有诸多记录，但胸痛的鉴别诊断应包括主动脉病变。据我们所知，此前尚无关于可卡因滥用继发急性主动脉夹层成功治疗的报道。在一名出现典型胸痛和纵隔增宽的45岁男性患者中，该疾病的成功治疗包括早期准确诊断以及主动脉瓣置换和升主动脉撕裂部分的置换。
