Acute aortic pathology temporally related to cocaine inhalation may lead to frank rupture or acute aortic dissection. This is a report of an unusual case of a 43-year-old man who presented 9 weeks after experiencing a tearing sensation in his chest while smoking cocaine. The diagnosis was chronic type A aortic dissection with 4+ aortic insufficiency. The successful surgical management included resuspension of the aortic valve and placement of a Dacron tube graft in the ascending aorta such that flow was maintained distally in both the true and false lumens. © 1993.
Adkins, M. S., Gaines, W. E., Anderson, W. A., Laub, G. W., Fernandez, J., & McGrath, L. B. (1993). Chronic type A aortic dissection: An unusual complication of cocaine inhalation. The Annals of Thoracic Surgery, 56(4), 977–979. https://doi.org/10.1016/0003-4975(93)90372-O