Key result
Medical therapy with antianginals successfully rendered a 52-year-old man with chronic spontaneous coronary artery dissection and antiphospholipid syndrome asymptomatic.
Case Report (n=1)
Highlights a rare presentation of chronic spontaneous coronary artery dissection in a patient with antiphospholipid syndrome presenting as stable angina, which was successfully managed with medical therapy.
Supports medical therapy consideration in rare chronic SCAD with APS; hypothesis-generating and should not yet change practice.
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.
No takes yet. Share an insight, caveat, or question.
Chongprasertpon et al. (2019) conducted a case report in Chronic spontaneous coronary artery dissection and antiphospholipid syndrome (n=1). Medical therapy with antianginals was evaluated. Medical therapy with antianginals successfully rendered a 52-year-old man with chronic spontaneous coronary artery dissection and antiphospholipid syndrome asymptomatic.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: