Woven coronary arteries: A detailed review

Joseph, Shamfa C.; D’Antoni, Anthony V.; Tubbs, R. Shane; Gielecki, Jerzy; Loukas, Marios

doi:10.1002/ca.22657

Cited by 15 publications

(14 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it has been reported to be associated with thrombus and myocardial infarction [5]. PCI of a local or short lesion with woven change has been reported in few publications [6]. Most cases of woven coronary artery were noticed accidentally during coronary angiography, and now the diagnostic criteria is based on angiographic images.…”

Section: Discussionmentioning

confidence: 99%

Woven-like change following intracoronary thrombosis recanalization: a case report

Wen

Zhang

2019

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundA woven coronary artery is a rare congenital coronary anomaly and incidentally found in coronary angiogram. Coronary angiography is the major diagnostic modality, which shows the main trunk of coronary divides into several channels which later reconnect with normal blood flow (J Int Cardiol 113:121-123 2006). However, some cases and reviews inferred that this characteristic might be mimicked by recanalized coronary thrombus, which occurs following thrombotic occlusion. In some case, the multiple intraluminal channels have a ‘Swiss cheese’, a ‘Spider web-like’, a ‘Honeycomb’ or a ‘Lotus root’ appearance and most of them appear in local segment (Int J Cardiol 186: 239–240, 2015). As these images are nonspecific findings, there is no angiographic uniform definition of intracoronary thrombus. More information about the characteristics and the development of this woven-like structure is needed.Case presentationA 67-year-old male patient was admitted to our hospital because of chest pain. Coronary artery angiogram revealed that the right coronary artery (RCA) divided into multiple thin channels from proximal to distal, which was similar to the so-called woven coronary artery. Compared with his prior coronary angiograms which showed a tiny hazy lesion in distal segment of RCA, we found the woven-like phenomena should be caused by a late-stage recanalized coronary thrombus. Percutaneous coronary intervention (PCI) was performed to restore the RCA flow, and the angina symptom was extremely improved during clinical follow-up.ConclusionsThe diagnostic criteria of woven coronary artery was based on angiographic image. However, some cases and reviews inferred that thrombotic recanalization might also share the same characteristic. In this case, we collected the baseline angiograms and intracoronary images then successfully diagnosed the woven-like RCA as thrombotic recanalization. For this kind of woven-like coronary artery, PCI could be a better treatment strategy. Detailed history collection and intracoronary image techniques should be emphasized in future clinical practice in the differentiating and treatment of woven-like phenomena.

show abstract

Section: Discussionmentioning

confidence: 99%

Woven-like change following intracoronary thrombosis recanalization: a case report

Wen

Zhang

2019

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…In the literature, there have been 2 main proposed theories regarding pathology. Some believe that this disorder is congenital and more specifically sporadic as no reported cases are identifying a genetic predisposition or hereditary cause [ 1 ] [ 6 ]. Others believe that it is a consequence of spontaneous cardiac dissection or recanalized thrombus [ 1 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Others believe that it is a consequence of spontaneous cardiac dissection or recanalized thrombus [ 1 , 7 ]. The causes of WCAA can be vasculitic disorders such as spontaneous coronary artery dissection, recanalized thrombus, or Kawasaki disease, and it may be associated with long-term chronic conditions such as rheumatoid arthritis [ 1 ] [ 2 ] [ 3 ] [ 6 , 8 ]. It is important to understand that WCAA can be due to spontaneous cardiac dissection or recanalized thrombus but can also mimic those pathological states.…”

Section: Discussionmentioning

confidence: 99%

Woven Coronary Artery Anomaly: An Incidental Finding and Literature Review

Bamousa

Sbitli

Mohamed

et al. 2022

Case Reports in Cardiology

View full text Add to dashboard Cite

Woven coronary artery anomaly is a rare description of an epicardial vessel segment that divides into multiple intertwining segments with eventual convergence of the distal vessel. We present our case, a 57-year-old male with an incidental woven coronary artery anomaly found during work-up investigations for a possible lung transplant, and we conduct a literature review on woven anomaly cases reported from 1988 to 2021 and provide a thorough analysis of its diversified clinical presentation. Imaging identification and various treatment modalities are also discussed.

show abstract

“…Therefore, a reasonable etiology was in situ thrombosis secondary to coronary dissection, plaque rupture, or proximal coronary ectasia. HLS should be differentiated from woven coronary artery (WCA), 21 another very rare condition that is recognized as a congenital anomaly without prognostic significance. In most cases, the involved WCA has normal coronary blood flow and the patient is asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Honeycomb-like structure in the right coronary artery treated with a drug-eluting stent: a case report and literature review

Mei

et al. 2018

J Int Med Res

View full text Add to dashboard Cite

A honeycomb-like structure (HLS) is a rare entity encountered in catheterization laboratories. The etiology of HLS remains elusive. Moreover, no treatment guideline or consensus for HLS has been proposed. However, with more frequent adoption of intravascular imaging modalities, the number of cases of HLS is rising. We herein present a case of HLS and summarize previous reports in the literature with the aim of providing useful information for interventional cardiologists and promoting further research.

show abstract

Woven coronary arteries: A detailed review

Cited by 15 publications

References 29 publications

Woven-like change following intracoronary thrombosis recanalization: a case report

Woven-like change following intracoronary thrombosis recanalization: a case report

Woven Coronary Artery Anomaly: An Incidental Finding and Literature Review

Honeycomb-like structure in the right coronary artery treated with a drug-eluting stent: a case report and literature review

Contact Info

Product

Resources

About