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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 12, Issue 1, September 2014 pp 99-101

Case Report

A rare incidence of spontaneous coronary artery dissection in a case of chronic cocaine abuse - a case report

Kaushik Ghosh¹, Prasanta Patra², Shobhan Roy³, Sourav Pal⁴, Sayak Sovan Dutta⁵, Sayan Biswas⁶

^1,2,3,4II^nd year PG, ⁵III^rd years PG, ⁶I^st years PG, Department of Forensic Medicine, Medical College Kolkata 88, College Street, Kolkata-700073, INDIA.

Abstract
Introduction: Sudden Cardiac Death (SCD) is mostly attributed to atherosclerotic changes involving one or more major coronary arteries. But in very rare and exceptional cases conditions such as Coronary Artery Spasm, Coronary Arteritis, embolism in Coronary Artery, coronary artery bridging, Spontaneous Coronary Artery Dissection (SCAD), or Anomalous Origin of Coronary Artery also play an important role. Spontaneous Coronary Artery Dissection mainly occurs in middle aged women particularly during pregnancy or immediate post-partum. The incidence of SCAD is rare among males and mostly attributed to severe physical exertion and concominant addiction to cocaine. Following is an example of such rare and exceptional case of SCAD in a male subject with a history of chronic cocaine abuse.