Isolated Septal Artery Infarction in a Cocaine User

Abstract

Septal branches arising from the left anterior descending coronary artery supply the anterior interventricular septum in unison. In this unusual presentation of cocaine heart disease, occlusion of a single dominant septal perforator caused a large septal myocardial infarction, resulting in significant left ventricular impairment.

Keywords: cardiac magnetic resonance imaging; cocaine heart disease; coronary angiography.