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Multivessel Woven Coronary Artery Disease
Luis Roberto Palma Dallan1, Luís Alberto Oliveira Dallan1, Miguel Moretti2
1Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Woven coronary disease, a rare condition, can cause myocardial ischemia. This case study details successful surgical treatment and two-year asymptomatic follow-up for multivessel involvement.
Area of Science:
- Cardiology
- Vascular Biology
- Medical Case Reports
Background:
- Woven coronary artery disease (WCAD) is a rare condition with an unclear cause.
- Historically considered benign, WCAD is now recognized for potentially causing myocardial ischemia.
- Long-term patient monitoring is essential due to frequent asymptomatic presentation.
Purpose of the Study:
- To report a rare case of multivessel woven coronary artery disease.
- To highlight the occurrence of documented myocardial ischemia in a WCAD patient.
- To present the outcomes of surgical intervention and long-term follow-up.
Main Methods:
- Case report of a patient diagnosed with multivessel woven coronary artery disease.
- Documentation of myocardial ischemia in the affected patient.
- Surgical management via coronary artery bypass grafting (CABG).
- Clinical follow-up for two years post-intervention.
Main Results:
- The patient presented with multivessel woven coronary artery disease and documented ischemia.
- Coronary artery bypass grafting was performed as the treatment modality.
- The patient remained asymptomatic throughout the two-year follow-up period.
Conclusions:
- Woven coronary artery disease, even in its multivessel form, can be successfully treated with coronary artery bypass grafting.
- Surgical intervention can lead to sustained asymptomatic status in patients with WCAD and ischemia.
- Further research into WCAD etiology and long-term prognosis is warranted.
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