Coronary to Bronchial Artery Communication.
10.3348/jkrs.2000.43.5.533
- Author:
Chang Jin YOON
1
;
Jae Hyung PARK
;
Joon Woo LEE
;
Jin Wook CHUNG
;
Hyun Beom KIM
Author Information
1. Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine, SNUMRC, Seoul, Korea. Parkjh@radcom.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Arteries, bronchial;
Coronary vessels, diseases;
Takayasu arteritis
- MeSH:
Angiography;
Arteries;
Bronchial Arteries*;
Cineangiography;
Coronary Vessels;
Hemoptysis;
Humans;
Infarction;
Lung;
Lung Diseases;
Perfusion;
Pneumonia;
Pulmonary Artery;
Pulmonary Embolism;
Takayasu Arteritis;
Thorax;
Tuberculosis, Pulmonary
- From:Journal of the Korean Radiological Society
2000;43(5):533-537
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the cineangiographic appearance and determine the clinical importance of coronary-to-bronchial artery communication. MATERIALS AND METHODS: The coronary cineangiograms of 4,620 patients were reviewed, and 12 cases of coronary-to-bronchial artery communications were observed in 10 patients (M:F=6:4; mean age, 48.4 years). The cineangiographic findings were analyzed and correlated with these of other imaging studies [perfusion scan (n=5), computed tomographic angiography (CTA) (n=4), conventional chest computed tomography (CT) (n=1), and conventional angiography (n=6)]. RESULT: Cineangiography revealed that hypertrophied branches of the coronary artery communicated with bronchial arteries in which adjacent hypervascular staining, was observed, and which were accompanied by pulmonary shunts (n=9). The underlying diseases identified among the ten patients were Takayasu arteritis (n=5), chronic inflammatory pulmonary disease (n=3), pulmonary thromboembolism (n=1), and or newly diagnosed pulmonary tuberculosis (n=1). The lung fields supplied by coronary-to-bronchial communication showed close correlation with the territories of perfusion defects, decreased pulmonary vascularity, or inflammatory lesions revealed by other imaging studies. CONCLUSION: Coronary-to-bronchial artery communication can present as a secondary result of occlusive disease of the pulmonary arteries or chronic pulmonary inflammation, and in patients with hemoptysis involving, for example, incomplete embolization or myocardiac infarction, it may be problematic.
