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

RATIONALE: Woven 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 CONCERNS: A 51-year-old man was admitted to our hospital with exertional dyspnea that he had experienced...

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Detalles Bibliográficos
Autores principales: Xing, Zhenhua, Tang, Liang, Huang, Jiabing, Hu, Xinqun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
3400
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682779/
https://www.ncbi.nlm.nih.gov/pubmed/29095260
http://dx.doi.org/10.1097/MD.0000000000008302
Descripción
Sumario:RATIONALE: Woven 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 CONCERNS: A 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. DIAGNOSES: The patient was diagnosed with mitral regurgitation and woven coronary. Silent myocardial infarction was found in cardiac surgery. INTERVENTIONS: Coronary artery bypass grafting was performed in the process of cardiac surgery. OUTCOMES: At 4 weeks follow-up, he was well and without symptoms. LESSONS: Although most woven coronary arteries are considered to be benign, myocardial ischemia even myocardial infarction can be caused by this anomaly.

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