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An impressive image of woven right coronary artery

Mustafa Oylumlu1, Abdulkadir Yıldız2, Hasan Kaya2

  • 1Department of Cardiology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. dr.oylumlu@yahoo.com.

Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir
|December 20, 2013
PubMed

Insights

Woven coronary artery, a rare congenital condition, can cause exertional chest pain. Diagnosis involves advanced imaging, revealing a unique twisted artery structure.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Vascular Anomalies

Background:

  • Woven coronary artery is a rare congenital anomaly with an unknown etiology.
  • It can present with symptoms mimicking common cardiac conditions.

Observation:

  • A 53-year-old male presented with exertional chest pain and dyspnea.
  • Initial tests (ECG, echocardiography) were normal.
  • Dobutamine stress echocardiography indicated reversible inferior wall ischemia.

Findings:

  • Right coronary angiography revealed an 80% stenosis and a characteristic 'woven' appearance with multiple thin channels.
  • Left coronary angiography showed noncritical lesions.

Implications:

  • This case highlights the importance of considering rare coronary anomalies in patients with unexplained ischemic symptoms.
  • Accurate diagnosis through advanced angiography is crucial for appropriate management.
  • Further research into the etiology and optimal treatment of woven coronary artery is warranted.

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