Woven coronary artery: A case report

World Journal of Clinical Cases
Wei WeiLi-Ming Gao

Abstract

Woven coronary artery is an extremely rare disease with unknown etiology. This condition is difficult to diagnosis by traditional methods. A 67-year-old male presented to the cardiology department with a history of mild chest pain for 6 mo. Coronary computed-tomography angiography revealed a soft plaque with a 40% stenosis in the right coronary artery (RCA). A linear shadow was seen both on left circumflex (LCX) and RCA. Further coronary angiography showed an 80% regional stenosis in the area proximal of LCX and RCA, and it was divided into different channels with diffuse stenosis. Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) were performed in RCA. These confirmed a woven coronary artery. No stent was implanted. He remained asymptomatic during the 5-year follow-up period. Woven coronary artery can be distinguished from spontaneous dissection and revascularization of thrombosis. IVUS and OCT are useful in obtaining a definite diagnosis, which decreases chances of unnecessary intervention.

References

May 1, 1988·The American Journal of Cardiology·D C Sane, H J Vidaillet
Mar 17, 2012·Journal of the American College of Cardiology·Guillermo J TearneyUNKNOWN International Working Group for Intravascular Optical Coherence Tomography (IWG-IVOCT)
Jul 25, 2013·Korean Circulation Journal·Aydın AkyuzDursun Cayan Akkoyun
Aug 22, 2013·European Heart Journal·Aitor UribarriFrancisco Fernández-Avilés
Sep 27, 2013·Folia morphologica·S- M Yuan
Nov 12, 2016·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·José-Fernando Val-BernalMiguel Salas-García
Jan 11, 2019·Acta Cardiologica·Ruben PauwelsPeter Kayaert
Jan 1, 2020·BMC Cardiovascular Disorders·Wei WenQi Zhang

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Methods Mentioned

BETA
dissection
coronary artery bypass

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