Conservative treatment of spontaneous dissection of multiple coronary arteries.
A young woman who presented with chest pain was shown with CT and selective coronary angiography to have spontaneous dissections of her left anterior descending and distal right coronary arteries. She was managed with enoxaparin, aspirin, clopidogrel and metoprolol: she was well with a normal stress echocardiogram fourteen months later. Surgical intervention or angioplasty and stent deployment may be avoided in such patients if they are clinically stable.
Hunt
Benjamin
B
Department of Cardiology, Prince Charles Hospital, Brisbane 4032, Queensland, Australia.
Chua
Roderick
R
Bett
Nicholas
N
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000188:drug therapy*; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D000077144:Clopidogrel; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008790:Metoprolol / Q000627:therapeutic use; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
D000889:Anti-Arrhythmia Agents; D000925:Anticoagulants; D017984:Enoxaparin; D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D008790:Metoprolol; D013988:Ticlopidine; D001241:Aspirin