Korean J Thorac Cardiovasc Surg.
2012 Feb;45(1):49-52.
Coronary-Bronchial Artery Fistula Manifested by Hemoptysis and Myocardial Ischemia in a Patient with Bronchiectasis
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine, Korea. azzy@kuh.ac.kr
- 2Department of Pediatrics, Konkuk University School of Medicine, Korea.
Abstract
- A coronary-bronchial artery fistula is a very rare congenital anomaly of the coronary artery whose etiology and pathogenesis have not yet been clarified. Most patients with coronary-bronchial fistulas are asymptomatic; however, some patients present with congestive heart failure, infective endocarditis, myocardial ischemia induced by a coronary steal phenomenon, or rupture of an aneurysmal fistula. Furthermore, patients with a coronary-bronchial artery fistula rarely manifest life-threatening hemoptysis due to the associated bronchiectasis. We report herein the case of a patient with a coronary-bronchial artery fistula who had bronchiectasis and a history of massive hemoptysis and myocardial ischemia.
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