An unusual etiology of ischemic stroke: Woven coronary artery anomaly

J Saudi Heart Assoc. 2018 Oct;30(4):316-318. doi: 10.1016/j.jsha.2018.05.001. Epub 2018 May 24.

Abstract

Woven coronary artery is extremely rare and is still not a clearly defined coronary anomaly in which epicardial coronary artery is divided into multiple thin channels at any segment of the coronary artery, and subsequently, these multiple channels merge again in a normal conduit. The described cases were usually incidentally detected and were considered a benign pathology. But, malignant cases with developing complications such as ischemia, infarction, and arrhythmia are increasing in the literature. In this report, we present a young man with a woven right coronary artery associated with a silent myocardial infarction, inferobasal segment acinesia, an area of scarring, and cardioembolic stroke thought from the scar area. Although it is reported as a benign coronary anomaly in the literature, we should be careful especially in terms of the complications that it causes.

Keywords: Inferobazal-segment acinesia; Ischemic stroke; Woven coronary anomaly.