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Published on: December 7, 2016
Woven coronary artery: a case report and literature review
11st Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province, People's Republic of China. shi_min_yuan@yahoo.com.
Insights
Woven coronary artery, an extremely rare condition, involves thin channels from the main artery rejoining distally. This case presents a uniquely complex woven coronary artery anatomy, differing from prior reports.
Area of Science:
- Cardiology
- Vascular Anatomy
- Medical Imaging
Background:
- Woven coronary artery is an exceptionally rare congenital anomaly.
- It is characterized by multiple thin channels originating from a main coronary artery and anastomosing distally.
Observation:
- A 62-year-old male patient presented with diagnosed coronary artery disease.
- Coronary angiography revealed three-vessel coronary artery disease.
- The distal right coronary artery exhibited three complex, twisting thin channels, with secondary channels branching and anastomosing distally.
Findings:
- The patient displayed a complex configuration of woven coronary artery.
- This anatomical variation was more intricate than previously documented cases.
Implications:
- This case expands the understanding of woven coronary artery variations.
- Highlights the importance of detailed coronary angiography for diagnosing rare coronary anomalies.
- Informs surgical planning and management strategies for complex coronary artery disease.
Abstract:
Woven coronary artery is extremely rare. It is characterised by thin channels arising from the coronary artery and reanastamosis at the distal portion. A 62-year-oldman was diagnosed of coronary artery disease. Coronary angiography showed 3-vessel coronary artery disease. The distal right coronary artery derived 3 twisting thin channels, and the inferior thin channel sprouted second-class thin channels,which then reanstomosed distally. He received off-pump coronary artery bypass.The present patient had woven coronary artery with a more complex configuration of thin channels different from the previously reported cases.
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