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Related Concept Videos

Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
The Arch of Aorta01:10

The Arch of Aorta

The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Chambers of the Heart01:16

Chambers of the Heart

The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...

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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Woven right coronary artery.

Korhan Soylu1, Murat Meric, Halit Zengin

  • 1Department of Cardiology, Ondokuz Mayis University School of Medicine, Samsun, Turkey. korhansoylu@yahoo.com

Journal of Cardiac Surgery
|May 25, 2012
PubMed
Summary

Woven coronary artery, a rare condition with a twisting vessel course, is usually benign. This case highlights a patient experiencing myocardial infarction despite this anomaly, prompting further literature review.

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Area of Science:

  • Cardiology
  • Vascular Biology
  • Medical Imaging

Background:

  • Woven coronary artery is an extremely rare congenital anomaly characterized by multiple thin channels forming a "woven" appearance within a coronary artery.
  • This anomaly typically exhibits Thrombolysis In Myocardial Infarction (TIMI) grade III blood flow, indicating good perfusion.
  • While generally considered benign, its clinical significance in the context of ischemic events is not fully understood.

Observation:

  • A 48-year-old male presented with symptoms of myocardial infarction.
  • Diagnostic imaging revealed a right dominant woven coronary artery anomaly.
  • The patient experienced an acute coronary syndrome despite the presence of TIMI-III flow in the anomalous vessel.

Findings:

  • The case demonstrates a rare instance of myocardial infarction associated with a woven coronary artery anomaly.
  • Despite the "benign" classification, this anomaly may be implicated in adverse cardiac events.
  • Literature review suggests a need to re-evaluate the clinical implications of this rare coronary variant.

Implications:

  • This case underscores the importance of considering rare coronary anomalies in the differential diagnosis of myocardial infarction, even with seemingly adequate blood flow.
  • Further research is warranted to elucidate the pathophysiological mechanisms linking woven coronary arteries to ischemic heart disease.
  • Clinicians should maintain a high index of suspicion for potential complications in patients with diagnosed woven coronary artery anomalies.