Open Access

Left main coronary artery thrombus after cannabis consumption: a case report

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Date: 14 June 2021
Journal: European Heart Journal - Case Reports , Volume 5 , Issue 6
Authors: A. Matta , K. Elenizi , M. Elbaz , J. Roncalli , K. Dimitriadis , C. De Biase , P. Xaplanteris , R. Thomson , R. Thomson

ESC Journals

AbstractBackground

Left main coronary thrombus is a rare angiographic finding associated with serious outcomes such as sudden death and cardiogenic shock. Rupture of an underlying atherosclerotic plaque is the main risk factor. The role of cannabis consumption in the pathophysiology of acute cardiovascular disease is controversial.

Case presentation

We present a case of non-ST-elevation myocardial infarction characterized by a mobile left main coronary thrombus in a young male cannabis consumer successfully treated with manual aspiration, dual anti-platelet, and unfractionated heparin therapy.

Conclusion

Cannabis consumption could be a risk factor for coronary artery thrombosis. The pathophysiology mechanism of action is not well understood. Reaching an optimal management is a potential challenge for physicians.

About the contributors

Anthony Matta

Role: Author

Khaled Elenizi

Role: Author

Meyer Elbaz

Role: Author