Multivessel Woven Coronary Artery Disease

Abstract

Woven coronary disease is a rare pathology with unknown etiology. Although initially considered benign, recent publications report myocardial ischemia caused by the affected vessel. Since most patients are asymptomatic, long-term follow-up to understand its behavior is mandatory. We report a multivessel woven disease case with documented ischemia that was submitted to coronary artery bypass grafting and remained asymptomatic for two years of follow-up.

Multivessel Percutaneous Coronary Intervention in a Patient With Woven Coronary Artery Anomaly

“…4 In our patient, we opted to intervene due to the lack of other etiologies responsible for his symptoms, the likelihood of hemodynamic significant stenosis across these channels, and the uncertainty about future coronary events associated with this condition. 5,6 The percutaneous approach was chosen because of low complexity of coronary disease, high likelihood of obtaining optimal results with nonsurgical means, and the patient's preference to avoid surgery.…”

“…4 Involvement of 2 or more vessels which our patient had was unusual, and PCI was rarely performed. 6 A honeycomb, Swiss cheese, or spider web appearance on OCT is highly specific. 5 Wiring through intracoronary thrombus can be challenging.…”