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.
American Journal of Medical Case Reports.
2021,
Vol. 9 No. 3, 172-179
DOI: 10.12691/ajmcr-9-3-11
Copyright © 2021 Science and Education PublishingCite this paper: Pramod Theetha Kariyanna, Harshith Priyan Chandrakumar, Yuvraj Singh Chowdhury, Apoorva Jayarangaiah, Sushruth Das, Amog Jayarangaiah, Moro O. Salifu, 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.
Correspondence to: Isabel M. McFarlane, Division of Cardiovascular Disease, Department of Internal Medicine, State University of New York-Downstate Medical Center, Brooklyn, New York, USA. Email:
isabel.mcfarlane@downstate.eduAbstract
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.
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