J Korean Soc Radiol.  2012 Apr;66(4):333-335. 10.3348/jksr.2012.66.4.333.

Diagnosis of Incidental Coronary-to-Bronchial Artery Fistula with CT Angiography: A Case Report

• Kang EJ
• Lee KN
• Kim WJ
• Lee JH
• Oh JY

• KMID: 2208846
• DOI: http://doi.org/10.3348/jksr.2012.66.4.333

Abstract

We report the case of a 64-year-old man with coronary-to-bronchial artery fistula (CBF) that was detected incidentally; the patient presented with the clinical manifestations of aortic dissection. Coronary CT angiography demonstrated tortuous vessels originating from the left circumflex coronary artery that were in communication with the bronchial arteries. CBF is a rare coronary artery anomaly and CBFs are asymptomatic in most cases. Familiarity with CT findings of CBF may help diagnose the incidental finding of CBF through the use of CT angiography undertaken for a different diagnostic purpose.

MeSH Terms

Angiography
Arteries
Bronchial Arteries
Coronary Vessels
Fistula
Humans
Incidental Findings
Middle Aged
Recognition (Psychology)

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