Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Coronary-Bronchial Artery Fistula Manifested by Hemoptysis and Myocardial Ischemia in a Patient with Bronchiectasis

  • Lee, Woo-Surng (Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine) ;
  • Lee, Song-Am (Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine) ;
  • Chee, Hyun-Keun (Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine) ;
  • Hwang, Jae-Joon (Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine) ;
  • Park, Jae-Bum (Department of Thoracic and Cardiovascular Surgery, Konkuk University School of Medicine) ;
  • Lee, Jung-Hwa (Department of Pediatrics, Konkuk University School of Medicine)
  • Received : 2011.07.25
  • Accepted : 2011.09.07
  • Published : 2012.02.05
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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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References

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