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Review
. 2001;28(3):218-9.

Cocaine-induced intramural hematoma of the ascending aorta

Affiliations
Review

Cocaine-induced intramural hematoma of the ascending aorta

E Neri et al. Tex Heart Inst J. 2001.

Abstract

We report the case of a 35-year-old man who presented at our institution with intramural aortic hematoma shortly after inhaling cocaine and smoking crack cocaine. To our knowledge, such a case has not previously been reported in the English medical literature. Problems of diagnosis and the mechanisms of intramural hematoma and aortic dissection are discussed.

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Figures

None
Fig. 1 Contrast computed tomographic (CT) scan exploration showing a dilated aortic root, with circumferential, contrast-enhanced, aortic wall thickening and the absence of an intimal flap or double lumen. These findings suggest the presence of an intramural hematoma of the ascending aorta.

References

    1. Braverman AC, Harris KM. Management of aortic intramural hematoma. Curr Opin Cardiol 1995;10:501–4. - PubMed
    1. Rashid J, Eisenberg MJ, Topol EJ. Cocaine-induced aortic dissection. Am Heart J 1996;132:1301–4. - PubMed
    1. Nienaber CA, von Kodolitsch Y, Petersen B, Loose R, Helmchen U, Haverich A, Spielmann RP. Intramural hemorrhage of the thoracic aorta. Diagnostic and therapeutic implications. Circulation 1995;92:1465–72. - PubMed
    1. Swalwell CI, Davis GG. Methamphetamine as a risk factor for acute aortic dissection. J Forensic Sci 1999;44:23–6. - PubMed
    1. Eisenberg MJ, Yakel DL, Mendelson J, Redberg RF, Jones RT, Foster E. Immediate effects of intravenous cocaine on the thoracic aorta and coronary arteries. A transesophageal echocardiographic study. Chest 1996;110:147–54. - PubMed