tailieunhanh - Báo cáo y học: "Acute left main coronary artery thrombosis due to cocaine use"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Acute left main coronary artery thrombosis due to cocaine use. | Apostolakis et al. Journal of Cardiothoracic Surgery 2010 5 65 http content 5 1 65 JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Acute left main coronary artery thrombosis due to cocaine use 1 2 1 1 2 Efstratios Apostolakis Grigorios Tsigkas Nikolaos G Baikoussis Ioanna Koniari Dimitrios Alexopoulos Abstract It is common knowledge that cocaine has been linked to the development of various acute and chronic cardiovascular complications including acute coronary syndromes. We present a young male patient drug abuser who underwent CABG due to anterolateral myocardial infarction. Our presentation is one of the very rare cases reported in literature regarding acute thrombosis of left main coronary artery related to cocaine use in a patient with normal coronary arteries successfully operated. Drug-abusers seem to have increased mortality and morbidity after surgery and high possibility for stent thrombosis after percoutaneous coronary interventions because of their usually terrible medical compliance and coexistent several problems of general health. There are no specific guidelines about treatment of thrombus formation in coronary arteries as a consequence of cocaine use. So any decision making concerning the final treatment of these patient is a unique and individualized approach. We strongly recommend that all these patients should be treated surgically especially patients with thrombus into the left main artery. Introduction The first relationship between myocardial ischemia or acute coronary syndrome and cocaine use was reported by Coleman D et al in 1982 1 . Many studies have investigated and documented the mentioned relationship concerning its pathophysiology and management. The risk of acute myocardial infarction AMI is increased 24-fold during the first hour after cocaine use in patients with normal coronary arteries CA 2 . According to several studies most cocaine-abusers with myocardial related complications are .

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