Spontaneous Coronary Artery Dissection and Woven Coronary Artery: Three Cases and a Review of the Literature
A 52-year-old man was presented with stable angina pectoris that lasted for two months. The patient was a diabetic and hypercholesterolemic smoker. He had experienced no cardiac events in the past. We performed coronary angiography because of the positive treadmill exercise test, and the coronary angiogram surprisingly revealed diffuse dissection that originated on the proximal bed of the second obtuse marginal-II branch and extending to its distal bed (). We did not perform coronary angioplasty due to technical difficulties and the narrowness of the ischemia-related artery. Hence, the patient was discharged on medical treatment with beta blocker and aspirin.