Open AccessMarijuana and Coronary Dissection: A Case Report and Review of Literature
Author(s) -
Pramod Theetha Kariyanna,
Harshith Chandrakumar,
Yuvraj S. Chowdhury,
Apoorva Jayarangaiah,
Sushruth Das,
Amog Jayarangaiah,
Moro O. Salifu,
Isabel M. McFarlane
Publication year - 2021
Publication title -
american journal of medical case reports
Language(s) - English
Resource type - Journals
eISSN - 2374-216X
pISSN - 2374-2151
DOI - 10.12691/ajmcr-9-3-11
Subject(s) - medicine , scad , dissection (medical) , cardiology , artery , acute coronary syndrome , circumflex , lesion , right coronary artery , artery dissection , coronary artery disease , surgery , myocardial infarction , coronary angiography
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.