title: [Surgical treatment of acute type-B aortic dissection associated with cocaine use].
abstract: Cocaine abuse is on a rise in Hungary as well. It is known that cocaine users have a higher risk developing cardiovascular complications, for example aortic dissection. Almost all patients in Hungary suffering from type B aortic dissection are referred to our department for treatment.
  
  
  OBJECTIVE
  We introduce the case of a regular cocaine user, who suffered an acute type B aortic dissection and was treated surgically. To our best knowledge this is the first similar case in our country to be published.
  
  
  METHODS
  Case presentation.
  
  
  RESULTS
  We performed a successful operation: acute thoracoabdominal aortic refenestration, no complication was detected. The patient is doing well three months after the procedure, returned to his regular activities, he is normotensively receiving medical treatment, and he gave up cocaine.
  
  
  CONCLUSIONS
  Thoracoabdominal aortic refenestration can save the life of patients presenting with acute type B dissection. Good long-term result depends on adequate hypertension control and cocaine abstinence. As the frequency of cocaine abuse increases in Hungary, similar cases may be more often encountered.
authors.affiliation: Semmelweis Egyetem, Altalános Orvostudományi Kar Er- és Szívsebészeti Klinika Budapest Városmajor u. 68. 1122. zszeberin@yahoo.com
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szeberin
authors.forename: Gábor
authors.initials: G
authors.lastname: Firneisz
authors.forename: Gábor
authors.initials: G
authors.lastname: Bíró
authors.forename: Gábor Viktor
authors.initials: GV
authors.lastname: Szabó
authors.forename: Péter
authors.initials: P
authors.lastname: Sótonyi
authors.forename: Mária
authors.initials: M
authors.lastname: Windisch
authors.forename: Miklós
authors.initials: M
authors.lastname: Krepuska
authors.forename: Ferenc
authors.initials: F
authors.lastname: Sípos
authors.forename: Emese
authors.initials: E
authors.lastname: Mihály
authors.forename: György
authors.initials: G
authors.lastname: Acsády
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D019970:Cocaine-Related Disorders / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D018810:Magnetic Resonance Angiography; D008297:Male; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*