RESUMEN
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. We postulate a developmental phase association between atrial septal maturation and closure of perfusing microchannels from the ventricular cavities to the epicardial coronary arteries on the same spectrum as that which leads to more widespread defects in infants. We also highlight a common medication side effect that might have been mistaken as a manifestation of the congenital anomalies.
Asunto(s)
Anomalías de los Vasos Coronarios/complicaciones , Defectos del Tabique Interatrial/complicaciones , Ventrículos Cardíacos/anomalías , Fístula Vascular/complicaciones , Anciano , Angiografía Coronaria , Estenosis Coronaria/diagnóstico , Estenosis Coronaria/etiología , Anomalías de los Vasos Coronarios/diagnóstico , Ecocardiografía , Electrocardiografía , Defectos del Tabique Interatrial/diagnóstico , Humanos , Masculino , Imagen Multimodal , Resultado del Tratamiento , Fístula Vascular/diagnósticoRESUMEN
Hepatitis is an important but uncommon manifestation of acute Epstein Barr infection. Infectious mononucleosis is usually a disease of young adults. We report a case of infectious mononucleosis in a 72-year old jaundiced gentleman with ferritin level of 2438 that normalised on clinical improvement.
