Wei W, Zhang Q, Gao LM. Woven coronary artery: A case report. World J Clin Cases 2020; 8(20): 4917-4921 [PMID: 33195661 DOI: 10.12998/wjcc.v8.i20.4917]
Corresponding Author of This Article
Li-Ming Gao, MD, Associate Chief Physician, Department of Cardiovascular Medicine, East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, Shanghai 200120, China. mrgaolm@sina.com
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 26, 2020; 8(20): 4917-4921 Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.4917
Woven coronary artery: A case report
Wei Wei, Qi Zhang, Li-Ming Gao
Wei Wei, Li-Ming Gao, Department of Cardiovascular Medicine, East Hospital, Tongji University School of Medicine, Shanghai 200120, China
Qi Zhang, Department of Cardiovascular Medicine, Tongji University School of Medicine, Shanghai 200124, China
Author contributions: Gao LM analyzed and interpreted the patient data and angiography data; Wei W followed up with the patient and was a major contributor in manuscript writing; All authors read and approved the final manuscript.
Informed consent statement: The study was approved by the Ethics Committee of Shanghai East Hospital Tongji University and in line with the Declaration of Helsinki. Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Ming Gao, MD, Associate Chief Physician, Department of Cardiovascular Medicine, East Hospital, Tongji University School of Medicine, No. 150 Jimo Road, Shanghai 200120, China. mrgaolm@sina.com
Received: August 5, 2020 Peer-review started: August 5, 2020 First decision: August 21, 2020 Revised: August 28, 2020 Accepted: September 10, 2020 Article in press: September 10, 2020 Published online: October 26, 2020 Processing time: 82 Days and 6.7 Hours
Abstract
BACKGROUND
Woven coronary artery is an extremely rare disease with unknown etiology. This condition is difficult to diagnosis by traditional methods.
CASE SUMMARY
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.
CONCLUSION
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.
Core Tip: Woven coronary artery can be distinguished from spontaneous dissection and revascularization of thrombosis. Intravascular ultrasound and optical coherence tomography are useful in obtaining a definite diagnosis, which decreases chances of unnecessary intervention.
