Woven coronary anomaly leading to silent myocardial infarction: A case report

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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.


The patient was diagnosed with mitral regurgitation and woven coronary. Silent myocardial infarction was found in cardiac surgery.


Coronary artery bypass grafting was performed in the process of cardiac surgery.


At 4 weeks follow-up, he was well and without symptoms.


Although most woven coronary arteries are considered to be benign, myocardial ischemia even myocardial infarction can be caused by this anomaly.

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