Bozkurt A, Akkus O, Demir S, Kaypakli O, Demirtas M
Faculty of Medicine, Department of Cardiology, Cukurova University, Yuregir Street, Adana, Turkey.
Herz. 2013 Jun;38(4):435-8. doi: 10.1007/s00059-012-3722-x.
Woven coronary artery is an extremely rare and not clearly defined congenital malformation in which the epicardial coronary artery is divided into multiple thin channels. These multiple channels merge again into a normal conduit. This anomaly is a benign condition because there is normal blood flow after the anomalous segment of the abnormal coronary artery. We describe a woven coronary artery anomaly in the left anterior descending artery (LAD) and its first diagonal (DI) branch causing myocardial infarction that was confused with coronary dissection. The definitive diagnosis was made by optical coherence tomography (OCT). Although woven coronary is a benign anomaly, it may cause myocardial infarction. We used the novel method of OCT for the definitive diagnosis and appropriate treatment of this anomaly.
编织状冠状动脉是一种极其罕见且定义不明确的先天性畸形，其中心外膜冠状动脉被分为多个细通道。这些多个通道再次合并成一个正常管道。这种异常是一种良性情况，因为异常冠状动脉的异常段之后有正常血流。我们描述了一例左前降支（LAD）及其第一对角支（DI）分支的编织状冠状动脉异常，该异常导致心肌梗死，曾被误诊为冠状动脉夹层。最终通过光学相干断层扫描（OCT）做出诊断。尽管编织状冠状动脉是一种良性异常，但它可能导致心肌梗死。我们使用OCT这种新方法对该异常进行了明确诊断和恰当治疗。
