TY - JOUR
T1 - Chronic spontaneous coronary artery dissection in association with antiphospholipid syndrome presenting as stable angina
AU - Chongprasertpon, Napohn
AU - Ibrahim, Abdalla
AU - Goggins, Michael
AU - Kiernan, Thomas
N1 - Publisher Copyright:
© BMJ Publishing Group Limited 2019.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - A 52-year-old man presented to our cardiology service for an elective diagnostic coronary angiogram for risk stratification in the context of stable angina. He was diagnosed with antiphospholipid syndrome 2 years prior and had three known thrombotic episodes in the form of a stroke, retinal artery occlusion and deep vein thrombosis. Our initial differential was atherosclerotic coronary artery disease, however, coronary angiography demonstrated a dominant right coronary artery with a long segment of chronic spontaneous dissection distally but with thrombolysis in myocardial infarction III flow. He was treated medically with antianginals which rendered him asymptomatic and is currently on regular follow-up in the cardiology outpatient department.
AB - A 52-year-old man presented to our cardiology service for an elective diagnostic coronary angiogram for risk stratification in the context of stable angina. He was diagnosed with antiphospholipid syndrome 2 years prior and had three known thrombotic episodes in the form of a stroke, retinal artery occlusion and deep vein thrombosis. Our initial differential was atherosclerotic coronary artery disease, however, coronary angiography demonstrated a dominant right coronary artery with a long segment of chronic spontaneous dissection distally but with thrombolysis in myocardial infarction III flow. He was treated medically with antianginals which rendered him asymptomatic and is currently on regular follow-up in the cardiology outpatient department.
KW - cardiovascular medicine
KW - clinical diagnostic tests
KW - interventional cardiology
UR - http://www.scopus.com/inward/record.url?scp=85062913087&partnerID=8YFLogxK
U2 - 10.1136/bcr-2018-227674
DO - 10.1136/bcr-2018-227674
M3 - Article
C2 - 30872339
AN - SCOPUS:85062913087
SN - 1757-790X
VL - 12
JO - BMJ Case Reports
JF - BMJ Case Reports
IS - 3
M1 - e227674
ER -
