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Chronic type A aortic dissection: an unusual complication of cocaine inhalation.

作者信息

Adkins M S, Gaines W E, Anderson W A, Laub G W, Fernandez J, McGrath L B

机构信息

Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.

出版信息

Ann Thorac Surg. 1993 Oct;56(4):977-9. doi: 10.1016/0003-4975(93)90372-o.

DOI:10.1016/0003-4975(93)90372-o
PMID:8215682
Abstract

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.

摘要

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