Cytomegalovirus Infection and Coronary Artery Disease: A Single- Center Serological Study in Northwestern Iran

AUTHORS

h m 1 , * , ho mo 2

1 dtyjuti, Andorra

2 setyu, Andorra

How to Cite: m H, mo H. Cytomegalovirus Infection and Coronary Artery Disease: A Single- Center Serological Study in Northwestern Iran, Int Cardio Res J. 2017 ; 11(1):e10155.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 11 (1); e10155
Published Online: September 15, 2016
Article Type: Research Article
Received: October 07, 2015
Revised: January 21, 2016
Accepted: March 09, 2016

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Abstract

Congenital Coronary Artery Fistulae (CAF) originating from Right Coronary Artery
(RCA) and draining into Coronary Sinus (CS) demonstrate high gradients and high flows,
which result in ectasia of the entire artery. The anatomic margin between the ectatic RCA
and the fistula are not clear and most cardiologists and cardiac surgeons tend to misname
the entire vessel as “fistula”. We presented a 60-year-old female with multiple CAF
draining into CS. The fistula originating from the RCA was huge and caused severe ectasia
of the entire artery. The patient had progressive breathlessness due to high left to right
shunt. Both fistulae were ligated under cardiopulmonary bypass. Our introduced term
“ectatic-fistulous lesion” comes to address the confusion with nomenclature. It not only
offers the theoretical advantage of precise description of the above complex pathology, but
also allows the cardiac team to identify the anatomical margins between the ectasia and
the fistula and, thus, to proceed to closure of the coronary fistula with safety.

Keywords

drhu,fiu,vui

© 0, Shiraz University of Medical Sciences.

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