s Circumflex-to-bronchial artery fistula with saccular aneurysm

Eryılmaz, Ufuk; Güngör, Hasan; Uyar, Samet; Akgüllü, Çağdaş; Selvi, Mithat; Onay, Sevil; Özkısacık, Erdem Ali

doi:10.5114/pwki.2013.37514

Cited by 1 publication

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References 1 publication

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“…2013 75M/chest pain/haemoptysis/dyspnoea/syncope TTE/CAG/CT Cx-BA right RR/bronchiectasis right lung PTE covered stent Galli et al [ 45 ]. 2013 71F/chest pain TTE/CAG/CT Cx-BA left DM RR hypercholesterolaemia Conservative Eryilmaz et al [ 46 ]. 2013 64M/dyspnoea on exertion/ CAG/MDCT Cx-BA right bronchiectasis Conservative, refusal of surgery Case 1 66F/chest pain CAG/MDCT/MPI/PET-CT RCA-BA 1VD PTE/PCI Cx Case 2 74M/chest pain CAG/PV scan/MDCT/MRI RCA-BA right 1VD/COPD/bronchiectasis Conservative ACS acute coronary syndrome, BA bronchial artery, CABG coronary artery bypass grafting, CAG coronary angiography, CBF coronary bronchial fistula, CHF congestive heart failure, COPD chronic obstructive pulmonary disease, CP chest pain, CT computed tomography, Cx circumflex coronary artery, DM diabetes mellitus, LAD left anterior descending coronary artery, LM left main stem, MDCT multi-detector computed tomography, MPI myocardial perfusion imaging, MRI magnetic resonance imaging, PA pulmonary artery, PCI percutaneous coronary intervention, PTE percutaneous transcatheter embolization, PVA polyvinyl alcohol particles, RCA right coronary artery, RR hypertension, SL surgical ligation, SVT supraventricular tachycardia, TTE transthoracic echocardiography, VD vessel disease …”

Section: Review Subjectsmentioning

confidence: 99%

Coronary artery-bronchial artery fistulas: report of two Dutch cases with a review of the literature

et al. 2014

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BackgroundCoronary bronchial artery fistulas (CBFs) are rare anomalies, which may be isolated or associated with other disorders.Materials and methodsTwo adult patients with CBFs are described and a PubMed search was performed using the keywords “coronary bronchial artery fistulas” in the period from 2008 to 2013.ResultsTwenty-seven reviewed subjects resulting in a total of 31 fistulas were collected. Asymptomatic presentation was reported in 5 subjects (19 %), chest pain (n = 17) was frequently present followed by haemoptysis (n = 7) and dyspnoea (n = 5). Concomitant disorders were bronchiectasis (44 %), diabetes (33 %) and hypertension (28 %). Multimodality and single-modality diagnostic strategies were applied in 56 % and 44 %, respectively. The origin of the CBFs was the left circumflex artery in 61 %, the right coronary artery in 36 % and the left anterior descending artery in 3 %. Management was conservative (22 %), surgical ligation (11 %), percutaneous transcatheter embolisation (30 %), awaiting lung transplantation (7 %) or not reported (30 %).ConclusionsCBFs may remain clinically silent, or present with chest pain or haemoptysis. CBFs are commonly associated with bronchiectasis and usually require a multimodality approach to be diagnosed. Several treatment strategies are available. This report presents two adult cases with CBFs and a review of the literature.

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