{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:50:26Z","timestamp":1774435826207,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Key Disciplines Groups Construction Project of Pudong Health Bureau of Shanghai","award":["PWZxq2017-05"],"award-info":[{"award-number":["PWZxq2017-05"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>A woven coronary artery is a rare congenital coronary anomaly and incidentally found in coronary angiogram. Coronary angiography is the major diagnostic modality, which shows the main trunk of coronary divides into several channels which later reconnect with normal blood flow (J Int Cardiol 113:121-123 2006). However, some cases and reviews inferred that this characteristic might be mimicked by recanalized coronary thrombus, which occurs following thrombotic occlusion. In some case, the multiple intraluminal channels have a \u2018Swiss cheese\u2019, a \u2018Spider web-like\u2019, a \u2018Honeycomb\u2019 or a \u2018Lotus root\u2019 appearance and most of them appear in local segment (Int J Cardiol 186: 239\u2013240, 2015). As these images are nonspecific findings, there is no angiographic uniform definition of intracoronary thrombus. More information about the characteristics and the development of this woven-like structure is needed.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 67-year-old male patient was admitted to our hospital because of chest pain. Coronary artery angiogram revealed that the right coronary artery (RCA) divided into multiple thin channels from proximal to distal, which was similar to the so-called woven coronary artery. Compared with his prior coronary angiograms which showed a tiny hazy lesion in distal segment of RCA, we found the woven-like phenomena should be caused by a late-stage recanalized coronary thrombus. Percutaneous coronary intervention (PCI) was performed to restore the RCA flow, and the angina symptom was extremely improved during clinical follow-up.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The diagnostic criteria of woven coronary artery was based on angiographic image. However, some cases and reviews inferred that thrombotic recanalization might also share the same characteristic. In this case, we collected the baseline angiograms and intracoronary images then successfully diagnosed the woven-like RCA as thrombotic recanalization. For this kind of woven-like coronary artery, PCI could be a better treatment strategy. Detailed history collection and intracoronary image techniques should be emphasized in future clinical practice in the differentiating and treatment of woven-like phenomena.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12872-019-01283-5","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T11:02:39Z","timestamp":1577703759000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Woven-like change following intracoronary thrombosis recanalization: a case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Wei","family":"Wen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haibo","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8207-262X","authenticated-orcid":false,"given":"Qi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"1283_CR1","doi-asserted-by":"publisher","first-page":"1158","DOI":"10.1016\/0002-9149(88)90159-2","volume":"61","author":"DC Sane","year":"1988","unstructured":"Sane DC, Vidaillet JH. Woven right coronary artery: a previous undescribed congenital anomaly. Am J Cardiol. 1988;61:1158.","journal-title":"Am J Cardiol"},{"key":"1283_CR2","doi-asserted-by":"publisher","first-page":"5682","DOI":"10.1093\/eurheartj\/eht310.P5682","volume":"34","author":"A Abaci","year":"2013","unstructured":"Abaci A, Gonul II, Ozkan S, Cemri M, et al. Pathological examination of the woven coronary anomaly. Eur Heart J. 2013;34:5682.","journal-title":"Eur Heart J"},{"key":"1283_CR3","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1017\/S1047951110000223","volume":"20","author":"A Y\u0131ld\u0131r\u0131m","year":"2010","unstructured":"Y\u0131ld\u0131r\u0131m A, O\u011fuz D, Olgunt\u00fcrk R. Woven right and Aneurysmatic left coronary artery associated with Kawasaki disease in a 9-month-old patient. Cardiol Young. 2010;20:342\u20134.","journal-title":"Cardiol Young"},{"key":"1283_CR4","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1097\/00019501-200112000-00004","volume":"12","author":"AH Rapp","year":"2001","unstructured":"Rapp AH, Hillis LD. Clinical consequences of anomalous coronary arteries. Coron Artery Dis. 2001;12:617\u201320.","journal-title":"Coron Artery Dis"},{"key":"1283_CR5","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1055\/s-0032-1331262","volume":"22","author":"S Ayhan","year":"2013","unstructured":"Ayhan S, Ozturk S, Tekelioglu UY, Ocak T. Woven coronary artery anomaly associated with acute coronary syndrome. Int J Angiol. 2013;22:55\u20138.","journal-title":"Int J Angiol"},{"key":"1283_CR6","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1002\/ca.22657","volume":"29","author":"SC Joseph","year":"2016","unstructured":"Joseph SC, D'Antoni AV, Tubbs RS, Gielecki J, Loukas M. Woven coronary arteries: a detailed review. Clin Anat. 2016;29:502\u20137.","journal-title":"Clin Anat"},{"key":"1283_CR7","doi-asserted-by":"publisher","first-page":"3005","DOI":"10.1093\/eurheartj\/eht322","volume":"34","author":"A Uribarri","year":"2013","unstructured":"Uribarri A, Sanz-Ruiz R, Elizaga J, Fernandez-Aviles F. Pathological insights of a woven coronary artery with optical coherence tomography. Eur Heart J. 2013;34:3005.","journal-title":"Eur Heart J"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-019-01283-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12872-019-01283-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-019-01283-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T00:21:56Z","timestamp":1609201316000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-019-01283-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["1283"],"URL":"https:\/\/doi.org\/10.1186\/s12872-019-01283-5","relation":{},"ISSN":["1471-2261"],"issn-type":[{"value":"1471-2261","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12]]},"assertion":[{"value":"4 May 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 November 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 December 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"317"}}