PLEXOGENIC PULMONARY-HYPERTENSION ASSOCIATED WITH INTRAVENOUS COCAINEABUSE

Intravenous drug abuse related plexogenic pulmonary hypertension unass ociated with recurrent thromboembolism or foreign-body granulomatous d isease of the lung has not been previously reported. Herein, we descri be the occurrence of fatal plexogenic pulmonary hypertension in a 33-y ear-old Hispanic woman who had a history of chronic intravenous drug a buse. In the absence of other known causes, cocaine-induced chronic va soconstriction was the most probable pathogenic mechanism of plexogeni c pulmonary hypertension in this patient.