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Scholars Journal of Medical Case Reports | Volume-12 | Issue-07
Large Intra-Coronary Thrombus Induced by Cocaine Use
Addou Ahmed Youssouf, Marzouki Kamal, El Mire Wafaa, Touiti Soufiane, Benyass Aatif
Published: July 26, 2024 |
42
37
DOI: 10.36347/sjmcr.2024.v12i07.028
Pages: 1321-1324
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Abstract
Cocaine is a highly addictive substance and represents a significant public health concern. The incidence of cocaine-associated myocardial infarction is low (4.7%). Coronary spasm is the presumed etiology as most patients have normal coronary arteries. We report a case of a 31-years old patient with known history of cocaine abuse that presented an acute thrombosis of the left anterior descending by a large intra-coronary thrombus. There are no specific guidelines about treating thrombus formation in coronary arteries due to cocaine use. Thereby, an optimal anti-thrombotic alone remains an effective alternative, As reported in our case, with a complete thrombus resolution.