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Pulmonary artery dilatation in a young man presenting with a left mandibular fracture: Do not forget cocaine
Kohmal Ashok Solanki1, Zhan Yun Lim2, Andrea Pisesky3, John Hogan4
1BSc MBBS, Cardiology Foundation Year 1 Doctor, Department of Cardiology, Whipps Cross Hospital, London, United Kingdom.
2MBBS MRCP, Cardiology Specialty Trainee, Department of Cardiology, Whipps Cross Hospital, London, United Kingdom.
3MBBS, Cardiology Foundation Year 1 Doctor, Department of Cardiology, Whipps Cross Hospital, London, United Kingdom.
4BSC(Hons), MBChB, MD, FRCP, Consultant Cardiologist, Department of Cardiology, Whipps Cross Hospital, London, United Kingdom.

doi:10.5348/ijcri-2013-10-379-CR-8

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Kohmal Ashok Solanki
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Email: kohmalsolanki@yahoo.co.uk

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How to cite this article:
Solanki KA, Lim AY, Pisesky A, Hogan J. Pulmonary artery dilatation in a young man presenting with a left mandibular fracture: Do not forget cocaine. International Journal of Case Reports and Images 2013;4(10):559–562.


Abstract
Introduction: The use of crack cocaine in the United Kingdom has risen dramatically over the last decade, leading to an increase in serious respiratory complications, which can often go undiagnosed for years. Here we report a case of a 29-year-old male admitted to the emergency department with a left mandibular fracture and chest pain after a cocaine binge and subsequent assault.
Case Report: An abnormal chest radiograph taken as part of a trauma series led to further investigations elucidating the eventual diagnosis of pulmonary artery dilatation likely secondary to cocaine.
Conclusion: To our knowledge, this is the first case reporting pulmonary artery dilatation secondary to cocaine in the absence of pulmonary hypertension. The patient was treated conservatively with outpatient right-heart catheterization and serial transthoracic echocardiography to monitor for emerging pulmonary hypertension. We briefly discuss pulmonary artery dilatation and the effects of cocaine on the pulmonary vasculature.

Keywords: Cocaine, Pulmonary artery dilatation


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Author Contributions
Kohmal Solanki – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Zhan Yun Lim – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Andrea Pisesky – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
John Hogan – Conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Kohmal Solanki et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)