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Cases Journal

, 1:369

First Online: 02 December 2008Received: 18 November 2008Accepted: 02 December 2008DOI: 10.1186-1757-1626-1-369

Cite this article as: Nusair, M., Abuzetun, J.Y., Khaja, A. et al. Cases Journal 2008 1: 369. doi:10.1186-1757-1626-1-369


BackgroundPrompt diagnosis and management of aortic dissection are key to reduce patient morbidity and mortality; hence the need to a have a high index of suspicion for this condition. We believe it-s important to report this case because it underscores the relationship between cocaine abuse and aortic dissection. In addition it strongly emphasizes basic principles in medicine: patients should not be profiled, and chronic complaints may need reassessment.

Case PresentationWe are presenting a case of Stanford type A aortic dissection in a 46 year old patient with history of cocaine abuse. The aortic dissection presented as worsening of chronic upper abdominal pains he has had for years. He presented to us hours after using crack cocaine.

ConclusionAortic dissection associated with cocaine abuse develops at a younger age. Therefore it-s crucial to have high index of suspicion for aortic dissection in this subset of patients. Furthermore as this case illustrates, serious diseases can masquerade in old complaints. Patients should never be profiled, and chronic complaints should always be revisited.

AbbreviationsIRADInternational Registry of Acute Aortic Dissection

EREmergency Department

CTComputed Tomography

TEETransesophageal Echocardiography

MRIMagnetic Resonance Imaging.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-1-369 contains supplementary material, which is available to authorized users.

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Autor: Maen Nusair - Jamil Y Abuzetun - Azamuddin Khaja - Mary Dohrmann

Fuente: https://link.springer.com/

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