A Sniff Away From Death: A Rare Case of Cocaine-Induced Triple Vessel Coronary Artery Disease in a 41-Year-Old Male Patient

Figures

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  Figure 1. Initial EKG on admission \begin{document}\Rightarrow\end{document}Acute inferolateral myocardial infarction Complete AV block with wide QRS complexes, right bundle branch block, and left posterior fascicular block EKG: electrocardiogram, AV: atrioventricular

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  Figure 2. Results from the cardiac catheterization (a) \begin{document}\Rightarrow\end{document}Ruptured plaque and thrombus in the proximal LAD with 90% stenosis, vasospasm, and diffuse disease in the distal LAD with 80% stenosis, and mid-vessel occlusion in the circumflex artery (b) \begin{document}\Rightarrow\end{document}Successful balloon angioplasty and Onyx drug-eluting stent placement to the proximal LAD with TIMI 3 flow (c) \begin{document}\Rightarrow\end{document}Successful balloon angioplasty and Onyx drug-eluting stent placement to the mid-circumflex artery with TIMI 2 flow (d) \begin{document}\Rightarrow\end{document}The right coronary artery was an extensively large caliber dominant vessel with complete proximal, mid, and distal thrombotic occlusion (e) \begin{document}\Rightarrow\end{document}Successful penumbra thrombectomy of the right coronary artery and intracoronary TPA infusion followed by balloon angioplasty and drug-eluting stent to the proximal right coronary artery (f) \begin{document}\Rightarrow\end{document}Drug-eluting stent placement to the mid and distal right coronary artery using two overlapping stents; drug-eluting stent to the distal right coronary artery…