Left Main Coronary Artery Stenosis in a Patient with Chronic Cocaine Use: A Case Report

Cardiovascular disease is the leading cause of death in the world. Atherosclerosis of epicardial coronary arteries is the most characteristic lesion, however, involvement of the left main coronary artery (LMCA) is described in 4-6% of cases. Illicit drug use is a key modifiable cardiovascular risk factor. We present the case of a 41-year-old male with persistent precordial pain without troponin elevation and a positive stress test showing ischemia in the lower face. Coronary angiography reported high-risk left coronary artery ostium stenosis managed with coronary angioplasty with remission of symptoms.