• Medicine · Nov 2017

    Case Reports

    Woven coronary anomaly leading to silent myocardial infarction: A case report.

    • Zhenhua Xing, Liang Tang, Jiabing Huang, and Xinqun Hu.
    • Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
    • Medicine (Baltimore). 2017 Nov 1; 96 (44): e8302.

    RationaleWoven coronary artery is an extremely unusual congenital anomaly with unknown etiology. Because of normal flow after anomalous segment, this anomaly is considered to be benign.Patient ConcernsA 51-year-old man was admitted to our hospital with exertional dyspnea that he had experienced for half a year. Woven coronary artery was found in coronary angiography.DiagnosesThe patient was diagnosed with mitral regurgitation and woven coronary. Silent myocardial infarction was found in cardiac surgery.InterventionsCoronary artery bypass grafting was performed in the process of cardiac surgery.OutcomesAt 4 weeks follow-up, he was well and without symptoms.LessonsAlthough most woven coronary arteries are considered to be benign, myocardial ischemia even myocardial infarction can be caused by this anomaly.

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