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American Journal of Medical Case Reports. 2021, 9(3), 172-179
DOI: 10.12691/AJMCR-9-3-11
Original Research

Marijuana and Coronary Dissection: A Case Report and Review of Literature

Pramod Theetha Kariyanna1, Harshith Priyan Chandrakumar2, Yuvraj Singh Chowdhury2, Apoorva Jayarangaiah3, Sushruth Das4, Amog Jayarangaiah4, Moro O. Salifu2 and Isabel M. McFarlane2,

1Division of Interventional Cardiology Fellow, Mount Sinai Heart, Icahn School of Medicine at Mount Sinai Morningside/Beth Israel, New York City, New York-10025

2Division of Cardiovascular Disease, Department of Internal Medicine, State University of New York-Downstate Medical Center, Brooklyn, New York, USA

3Department of Internal Medicine, Albert Einstein College of Medicine, NYC Health and Hospitals/Jacobi Medical Center, Bronx, New York-10461, USA

4Trinity School of Medicine, 925 Woodstock Road, Roswell, GA 30075, U.S.A.

Pub. Date: January 14, 2021
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Cite this paper

Pramod Theetha Kariyanna, Harshith Priyan Chandrakumar, Yuvraj Singh Chowdhury, Apoorva Jayarangaiah, Sushruth Das, Amog Jayarangaiah, Moro O. Salifu and Isabel M. McFarlane. Marijuana and Coronary Dissection: A Case Report and Review of Literature. American Journal of Medical Case Reports. 2021; 9(3):172-179. doi: 10.12691/AJMCR-9-3-11

Abstract

Spontaneous coronary artery dissection (SCAD) is a cardiac emergency and an uncommon cause of acute coronary syndrome (ACS) with a higher predominance in younger women. It is a non-traumatic, non-atherosclerotic lesion found to be associated with pregnancy, inflammatory disorders, connective tissue diseases and substance abuse. Our patient was a young woman with a chronic marijuana smoking history who was found to have a NSTEMI. Initial angiogram showed triple vessel disease involving left anterior descending artery (LAD), left circumflex artery (LCX) and obtuse marginal artery (OM). A repeat angiogram notably showed spontaneous progression with dissection in all three vessels attributable to substance abuse. We present you this rare occurrence of triple vessel SCAD secondary to marijuana with a literature review and discussion.

Keywords

marijuana, coronary artery dissection, risk factors

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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