Key result
A 27-year-old male with occasional chest pain was diagnosed with a rare woven right coronary artery using CT and coronary angiography, and was successfully managed with conservative medical therapy.
Why the study?
Braid-like coronary artery is a very rare vascular anomaly characterized by multiple tortuous small channels that reconverge into a normal lumen.
Case Report (n=1)
No
This case highlights woven coronary artery as a rare but important differential diagnosis for braid-like coronary anomalies that can be managed conservatively if downstream flow is preserved.
Braid-like coronary artery is very rare. It is featured by the division of the coronary artery into multiple tortuous small channels that later converge into a normal lumen at any segment of the coronary artery. We presented a case of a 27-year-old male patient with occasional chest pain. In coronary CT angiography (CCTA) and coronary angiography, a braid-like appearance was found in the right coronary artery. After multidisciplinary discussion, it was speculated to be a woven coronary artery (WCA). We conducted a literature review about woven coronary arteries.
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Wang et al. (2023) conducted a case report in Woven coronary artery (braid-like right coronary artery) (n=1). Conservative medical treatment was evaluated. A 27-year-old male with occasional chest pain was diagnosed with a rare woven right coronary artery using CT and coronary angiography, and was successfully managed with conservative medical therapy.
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