Coronary-Bronchial Artery Fistula Manifested by Hemoptysis and Myocardial Ischemia in a Patient with Bronchiectasis.
- Author:
Woo Surng LEE
1
;
Song Am LEE
;
Hyun Keun CHEE
;
Jae Joon HWANG
;
Jae Bum PARK
;
Jung Hwa LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine, Korea. azzy@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Fistula;
Hemoptysis;
Myocardial ischemia
- MeSH:
Aneurysm;
Arteries;
Bronchiectasis;
Coronary Vessels;
Endocarditis;
Fistula;
Heart Failure;
Hemoptysis;
Humans;
Myocardial Ischemia;
Rupture
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2012;45(1):49-52
- CountryRepublic of Korea
- Language:English
-
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.
