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| http://dx.doi.org/10.1016/j.jccase.2020.05.022 | DOI Listing |
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Coronary artery microfistulae, Thebesian veins, or vessels of Wearn?
Oxf Med Case Reports
November 2024
Department of Cardiology, Heart and Brain Center of Clinical Excellence, Zdrave 29 St., 8000, Burgas, Bulgaria.
We present the case of a 73-year-old woman with coronary artery-left ventricular multiple microfistulae, who was admitted with symptoms and ECG suggestive of coronary artery disease. Coronary angiography revealed tortuous coronary arteries with multiple microfistulae between the left coronary artery and the left ventricle, as well as between the right coronary artery and the left ventricle. Transthoracic echocardiography (TTE) was also able to clearly demonstrate the presence of the microfistulae with their direction of blood flow towards the left ventricle.
View Article and Find Full Text PDFThe vessels of Wearn include the arterioluminal and arteriosinusoidal vessels and they are not Thebesian veins.
J Cardiol Cases
September 2020
Health Quest Medical Center, Poughkeepsie, NY 12601, USA.
Thebesian vessels are coronary vein-cameral connections and vessels of Wearn are coronary artery-cameral connections.
Cardiovasc Pathol
April 2016
DrSocial Ltd., 468 N Camden Drive, Suite 200, Beverly Hills, California. Electronic address:
Association of coronary to left ventricular microfistulae (vessels of Wearn) with atrial septal defect in an adult without cyanotic heart disease.
BMJ Case Rep
July 2015
Department of Cardiology, University Hospitals of Leicester, Leicester, UK.
Vessels of Wearn are rare findings during coronary angiography in adults. They are known to be associated with forms of cyanotic congenital heart disease in infants but we are not aware of any published cases of association with non-cyanotic left to right shunts in adults. We present the case of a 69-year-old man with angiographically evident vessels of Wearn draining from the left and right coronary arteries into the left ventricle associated with an asymptomatic atrial septal defect.
View Article and Find Full Text PDFPulmonary atresia with intact ventricular septum and right ventricular dependent coronary circulation through the "vessels of Wearn".
Cardiovasc Pathol
February 2014
Department of Pathology and Laboratory Medicine, Children's Mercy Hospitals, Kansas City, MO 64108, USA.
We present an autopsy case of a male baby born at 35 weeks of gestation with pulmonary atresia with intact ventricular septum (PAIVS), who had coronary blood flow that was dependent on outflow from the right ventricle through the vessels described by Wearn. At 7 weeks of age, he underwent single ventricle palliation consisting of ligation of a patent ductus arteriosus and placement of a modified Blalock-Taussig shunt. The patient experienced a perioperative myocardial infarction, requiring extracorporeal membrane oxygenation.
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