Ra. Chang et Nf. Rossi, INTERMITTENT COCAINE USE ASSOCIATED WITH RECURRENT DISSECTION OF THE THORACIC AND ABDOMINAL-AORTA, Chest, 108(6), 1995, pp. 1758-1762
Acute 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 a
ggressive pharmacologic blood pressure control, close monitoring, and
encouragement to enter drug rehabilitation.