PT  - JOURNAL ARTICLE
AU  - Napohn Chongprasertpon
AU  - Abdalla Ibrahim
AU  - Michael Goggins
AU  - Thomas Kiernan
TI  - Chronic spontaneous coronary artery dissection in association with antiphospholipid syndrome presenting as stable angina
AID  - 10.1136/bcr-2018-227674
DP  - 2019 Mar 01
TA  - BMJ Case Reports
PG  - e227674
VI  - 12
IP  - 3
4099  - http://casereports.bmj.com/content/12/3/e227674.short
4100  - http://casereports.bmj.com/content/12/3/e227674.full
SO  - BMJ Case Reports2019 Mar 01; 12
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.