Korean Circ J.  2013 Jun;43(6):411-415. 10.4070/kcj.2013.43.6.411.

Spontaneous Coronary Artery Dissection and Woven Coronary Artery: Three Cases and a Review of the Literature

• Akyuz A
• Alpsoy S
• Akkoyun DC

• KMID: 2224903
• DOI: http://doi.org/10.4070/kcj.2013.43.6.411

Abstract

Spontaneous coronary artery dissection (SCAD) and woven coronary artery anomaly (WCAA) are relatively rare. A few of the previously reported woven coronary artery cases have involved in a single coronary artery. We present an unusual woven case involving all coronary arteries and two patient with SCAD. We have also reviewed the literature related to these disease, as they resemble one another.

Keyword

Coronary vessel anomalies; Coronary heart disease; Coronary angiography

MeSH Terms

Coronary Angiography
Coronary Disease
Coronary Vessel Anomalies
Coronary Vessels
Humans

Figure

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  Fig. 1 Right coronary angiogram demonstrating spontaneous dissection-left anterior oblique projection (case 1).

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  Fig. 2 Post percutaneous coronary intervention right coronary angiogram demonstrating successful stenting of the right coronary artery (case 1).

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  Fig. 3 Left coronary artery-right anterior projection. It shows a non-acute spontaneous dissection at the proximal segment and distal margins of the obtuse marginal-II branch. It was not appropriate for percutaneous coronary intervention (case 2).

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  Fig. 4 Left coronary angiogram demonstrating woven coronary artery anomaly at the proximal segment of the left anterior descending artery and ramus intermedius artery and circumflex artery-left lateral projection (case 3).

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  Fig. 5 It shows woven coronary artery anomaly at the proximal segment of the left coronary arteries in the right anterior oblique. Also, it reveals normal blood flow just distal segment of the anomaly (case 3).

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  Fig. 6 It is visualized that normal blood flow is maintained in woven right coronary artery, distal to anomalous segment (case 3).

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