Coronary artery microfistulae, Thebesian veins, or vessels of Wearn?

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI:10.1093/omcr/omae144

Dzhem Farandzha, Kristina Stancheva, Petar Iliev, Embie Azis, Dobri Hazarbasanov

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Abstract

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. Despite traditional reliance on coronary angiography, this case advocates for the diagnostic role of TTE due to its non-invasive nature and ability to provide crucial preliminary information, even in cases with such small structures as these microfistulae. We emphasize the importance of precise, modern terminology over historical eponyms such as Thebesian veins or vessels of Wearn, aligning medical communication with contemporary diagnostic capabilities.

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冠状动脉微瘘管、底比斯静脉还是维恩血管？

我们介绍了一例患有冠状动脉-左心室多发性微瘘管的 73 岁女性病例，她因症状和心电图提示冠状动脉疾病而入院。冠状动脉造影显示，她的冠状动脉迂曲，左冠状动脉和左心室之间以及右冠状动脉和左心室之间存在多个微瘘管。经胸超声心动图（TTE）也能清楚地显示微瘘管的存在及其朝向左心室的血流方向。尽管传统上需要依靠冠状动脉造影，但本病例证明了 TTE 的诊断作用，因为它具有无创的特点，即使在微瘘这种小结构的病例中也能提供重要的初步信息。我们强调使用精确的现代术语的重要性，而不是使用诸如底比斯静脉或维恩血管等历史名词，使医学交流与现代诊断能力保持一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.