Case Report: Spontaneous simultaneous coronary and carotid dissection in a young cannabis user [version 2; peer review: 2 approved]

• Published in: F1000 research Vol. 10; p. 387
• Main Authors: Ibn Hadj Amor, Hassen, Touil, Imen, Boukriba, Seif, Bouchnak, Skander, Kraiem, Salma, Rouabhia, Ramzi
• Format: Journal Article
• Language: English
• Published: London Faculty of 1000 Ltd 2021; F1000 Research Limited; F1000 Research Ltd
• Subjects: Acute coronary syndromes; Aphasia; Cannabis; Cardiovascular diseases; Carotid artery; Case Report; Case reports; Dissection; Emergency medical care; Heart attacks; Ischemia; Marijuana; Medical treatment; Oxidative stress; Risk factors; Tomography; Veins & arteries; Tunisia; Cannabis; acute coronary syndrome; coronary dissection; carotid dissection; ischemic stroke
• ISSN: 2046-1402; 2046-1402
• DOI: 10.12688/f1000research.52606.2

Due to legalization of its consumption in some countries and its medical use as well as low toxic potential, cannabis remains the most widely used drug around the world and the rate of usage is only increasing. 
Nevertheless, there are several case reports of vascular complications following cannabis use even in young people without cardiovascular risk factors. We report the case of a cannabis smoker presenting to the emergency room for an ischemic stroke associated with an acute coronary syndrome related to a spontaneous simultaneous double dissection of the carotid artery and the left anterior descending artery, with a favourable outcome under medical treatment. This case shows the seriousness of complications due to the cannabis consumption, hence the need to limit or even prohibit its consumption.