Woven coronary anomaly leading to silent myocardial infarction
نویسندگان
چکیده
RATIONALE Woven coronary artery is an extremely unusual congenital anomaly with unknown etiology. Because of normal flow after anomalous segment, this anomaly is considered to be benign. PATIENT CONCERNS A 51-year-old man was admitted to our hospital with exertional dyspnea that he had experienced for half a year. Woven coronary artery was found in coronary angiography. DIAGNOSES The patient was diagnosed with mitral regurgitation and woven coronary. Silent myocardial infarction was found in cardiac surgery. INTERVENTIONS Coronary artery bypass grafting was performed in the process of cardiac surgery. OUTCOMES At 4 weeks follow-up, he was well and without symptoms. LESSONS Although most woven coronary arteries are considered to be benign, myocardial ischemia even myocardial infarction can be caused by this anomaly.
منابع مشابه
عوامل تسهیل کننده در انفارکتوس میوکارد بدون درد، بیمارستان فارابی، 1379
Myocardial infarction sequel of coronary artery diseases, can be sometimes asymptomatic, called silent myocardial infarction. Some risk factors predispose the patients to this condition. In this study, we intend to determine the predisposing factors in such patients.Methods and Materials: We included those patients with electrocardiogram changes, consistent with myocardial infarction, who had n...
متن کاملA rare Congenital Coronary Artery Anomaly: Woven Right Coronary Artery associated with Myocardial Infarction
Woven coronary artery (WCA) is an extremely rare and still not a clearly de ined coronary anomaly. It is characterized by the division of epicardial coronary artery into thin channels which then reanastomose with the distal part of the abnormal coronary artery [1]. Since the angiographic imaging of WCA looks like an intracoronary thrombus and dissection; the differential diagnosis between ather...
متن کاملAcute Anterior Myocardial Infarction Accompanied by Acute Inferior Myocardial Infarction: A Very Rare Coronary Artery Anomaly
Coronary artery anomalies are rare and mostly silent in clinical practice. First manifestation of this congenital abnormality can be devastating as syncope, acute coronary syndrome, and sudden cardiac death. Herein we report a case with coronary artery anomaly complicated with ST segment myocardial infarction in both inferior and anterior walls simultaneously diagnosed during primary percutaneo...
متن کاملSilent Myocardial Infarction Presented with Homonymous Hemianopia: A Rare Case Study
Silent myocardial infarction is a little-known phenomenon, the mechanisms of which have still remained unclear. Herein, we presented the case of a middle-aged man suffering from silent myocardial infarction who presented with homonymous hemianopia and no other major cardiovascular risk factors, except for stage 1 hypertension.
متن کاملRelationship between the location of the most severe myocardial perfusion defects, the most severe coronary artery stenosis and the site of subsequent myocardial infarction [Persian]
This study evaluated the relationship between the location of the most severe coronary artery stenosis and the subsequent acute myocardial infarction (AMI). Methods: Of 1590 patients who were admitted with a diagnosis of AMI, we identified 44 patients who had undergone previous myocardial perfusion SPECT. Thirty-one of these patients also had previous coronary angiography. The relationshi...
متن کامل