Enlarged coronary-bronchial artery anastomosis in cystic bronchiectasis: A case report.
- Author:
Byoung Cheol CHEON
1
;
In Ho PARK
;
Jeong Hwa YU
;
Sei Joong CHANG
;
Jong Seo HONG
;
Kyoung Ju AHN
;
Eui Yong JEON
Author Information
1. Department of Internal Medicine, Hanil-General Hospital, Seoul, Korea. atlasahn@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Anastomosis;
Steal syndrome;
Bronchiectasis
- MeSH:
Adult;
Arteries*;
Bronchial Arteries;
Bronchiectasis*;
Coronary Vessels;
Humans;
Lung
- From:Korean Journal of Medicine
2007;73(3):330-335
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anastomoses between a coronary artery and bronchial or mediastinal arteries have been described since the 19th century. Although coronary-to-bronchial artery communication has been well described, it remains an unusual finding. We report one adult case of abnormally enlarged two coronary-to-bronchial artery communications in a severe cystic bronchiectasis patient. In this case, the bronchial arteries were also supplied from the multiple systemic arteries (the internal mammary, subclavian, inferior phrenic and intercostal arteries) because of severe cystic bronchiectasis. We treated the patient by embolization of the bronchial artery with the abnormal anastomoses and then by surgical resection of the cystic bronchiectatic lung lesion. To date, the patient remains free of symptoms.