PMC4605211_01
Plaques at left anterior descending artery and borderline lesion ostial Circumflex artery.
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fig1
There were plaques at LAD and %50 stenosis at proximal Circumflex arteries, the lesions were considered to be insignificant (Figure 1), and the patient had woven RCA (Figures 2 and 3).
Woven coronary artery anomaly at the midsegment of the right coronary artery.
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fig2
There were plaques at LAD and %50 stenosis at proximal Circumflex arteries, the lesions were considered to be insignificant (Figure 1), and the patient had woven RCA (Figures 2 and 3).
There is normal blood flow at the distal RCA segment of the anomaly.
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fig3
There were plaques at LAD and %50 stenosis at proximal Circumflex arteries, the lesions were considered to be insignificant (Figure 1), and the patient had woven RCA (Figures 2 and 3).
Coronary angiography showed proximal thin channels and distal reanastomosis.
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fig4
At nearly 5 cm middle portion of RCA, numerous small tortious channels formed the lumen and they were merged again after the anomalous segment (Figure 4).
Right coronary artery and TIMI III flow after floppy guidewires.
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fig5
Woven pattern was confirmed at RCA with no apparent coronary stenosis. 6F guiding catheter was placed to RCA ostium and then 0.014 floppy guiding wire was forwarded to anomalous portion (Figure 5). 1.5/15 mm chronic total occlusion angioplasty balloon was used to reach lesion.
Right coronary artery and WCA after first distal stent implantation.
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fig6
After dilatation, two 2.5/28 mm everolimus-eluted stents were implanted to the anomalous portion after balloon dilatation (Figures 6 and 7).
RCA after percutaneous coronary intervention and distal normal blood flow.
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fig7
After dilatation, two 2.5/28 mm everolimus-eluted stents were implanted to the anomalous portion after balloon dilatation (Figures 6 and 7).