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http://dx.doi.org/10.5090/kjtcs.2012.45.1.49

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)
Publication Information
Journal of Chest Surgery / v.45, no.1, 2012 , pp. 49-52 More about this Journal
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.
Keywords
Fistula; Hemoptysis; Myocardial ischemia;
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