Systemic-to-pulmonary collaterals in pathological states: a review.

Tadavarthy, S. Murthy; Klugman, Joseph; Castańeda-Zúńiga, W R; Nath, P. H.; Amplatz, K

doi:10.1148/radiology.144.1.7089266

Cited by 48 publications

(28 citation statements)

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“…Histologic examination of resected specimens in this series as in other studies (Cudkowics, 1952;Darke and Lewats, 1968;Tadavarthy et al, 1982) showed extensive anastornotic channels between bronchial and pulmonary arteries. Consequently, blood will flow from the high pressure (bronchial) to the low pressure circulation (pulmonary) through the newly established bronchopulmonary shunts.This haemodynamic event was demonstrated in our patients during thoracic arotogrpahy as retrograde filling of the pulmonary artery (Fig.…”

Section: The Haemodynamic Factorsupporting

confidence: 78%

The anatomy of left bronchus syndrome

Ashour¹

1995

Clinical Anatomy

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This explanation of the previously described left bronchus syndrome (Ashour et al., 1990, Thorax, 45:210-212) is based on a prospective study of 17 additional cases with unilateral lung destruction. It is likely that the anatomic peculiarities of the left main bronchus predispose the left lung to more frequent bronchial obstruction and hemodynamic changes than the right. Broncho-pulmonary shunt formation and retrograde filling of the pulmonary artery most likely lead to increased oxygen tension and impaired lymph flow in the entire lung, thus spreading tuberculosis in the lung and ultimately leading to left lung destruction.

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Section: The Haemodynamic Factorsupporting

confidence: 78%

The anatomy of left bronchus syndrome

Ashour¹

1995

Clinical Anatomy

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“…Thin-walled pulmonary arteries deliver non-oxygenated blood via low-pressure circulation into the lungs for gas exchange and oxygenated blood returns to the heart through pulmonary veins. At the same time, bronchial arteries provide nutrition and oxygen support for the lungs and bronchi via systemic pressure 10 . Classically, bronchial arteries arise from the descending aorta at the level of 5th and 6th thoracic vertebras.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, normal physiological connection occurs between systemic and pulmonary vascular systems; this is the right-to-left shunt, which has no clinical importance. Under normal conditions, this arteriolar plexus is functionally closed without blood flow; these channels may be opened in case of decreased blood flow like pulmonary embolism or may develop neovascularization 10,11 . Despite the hypothesis that these vascular abnormal connections might occur as a response to an intrauterine ischemic event, the lungs and proximal pulmonary arteries were anatomically normal in the present case.…”

Section: Discussionmentioning

confidence: 99%

“…Bacterial pneumonia 10 , tuberculosis 7,8 and pulmonary actinomycosis 13 lead to connections usually in the form of pulmonary arteriovenous fistula; rarely, connections between systemic artery and pulmonary artery may also occur. Preexisting vascular abnormal connections might lead to systemic connections with the infection of the lung area 13 Chronic inflammation of this area may cause neovascularization of the capillaries, in addition to the dilatation of normal anastomotic connections 8 .…”

Section: Discussionmentioning

confidence: 99%

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Genç Erişkin Bir Olguda Konjenital Bronşiyal Arter - Pulmoner Arter Fistülü

Kara¹,

Şen²,

Özkan³

et al. 2015

Cukurova Medical Journal

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Primary vascular malformations such as connection between bronchial artery and pulmonary artery or pulmonary vein are quite rare. A 18-year-old male patient with the first episode of massive hemoptysis was found to have bronchial artery-pulmonary artery fistula, a rare vascular anomaly, on selective bronchial angiography. Since medical history revealed no acquired cause, it is considered congenital. He underwent bronchial artery embolization and hemoptysis was completely resolved after endovascular treatment. The presence of such vascular anomalies should be suspected in patients with massive hemoptysis. Bronchial artery embolization is a safe and effective nonsurgical treatment option for such patients. Key words: Hemoptysis, vascular malformation, bronchial artery-pulmonary artery fistula, bronchial artery embolization. ÖZETBronşial arter ve pulmoner arter veya pulmoner ven arasındaki bağlantı gibi primer vasküler malformasyonlar olukça nadirdir. İlk kez olan masif hemoptizi ile başvuran 18 yaşındaki bir erkek hastada selektif bronşial anjiografide nadir bir vasküler anomali olan bronşial arter-pulmoner arter fistülü saptandı. Öyküde hiç bir kazanılmış neden bulunmadığı için konjenital olarak düşünüldü. Olguya bronşial arter embolizasyonu uygulandı ve hemoptizisi endovasküler tedaviden sonra tamamen düzeldi. Masif hemoptizili hastalarda böyle vasküler anomalilerden şüphelenilmelidir. Bronşial arter embolizasyonu bu hastalarda güvenli ve etkili cerrahi olmayan bir tedavi yöntemidir. Anahtar kelimeler: Hemoptizi, vasküler malformasyon, bronşial arter-pulmoner arter fistülü broşial arter embolizasyonu.

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“…About half of the cases are considered to be congenital in origin and they occur in the presence of cardiac disease or pulmonary artery hypoplasia. 3 An acquired communication develops in patients with cancer or with various infectious or infl ammatory diseases of the lung and the pleura, such as tuberculosis, mycosis, pneumonia, lung abscess, bronchiectasis, and cystic fi brosis. 4 Another contributing factor is chest trauma which can be open, blunt, or iatrogenic after an operation.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of a Left Axillary–Left Pulmonary Artery Fistula: Report of a Case

et al. 2007

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An abnormal communication between an artery of the systemic circulation and a pulmonary artery represents a rare clinical condition. A 76-year-old man presented with nocturnal dyspnea and retrosternal pain caused by a non-ST-elevation acute coronary syndrome. He had a history of a coronary artery bypass grafting operation 17 years previously, which required a repeat procedure 7 years later with a construction of an anastomosis of the left internal thoracic artery to the left anterior descending artery. Coronary angiography revealed an abnormal fistulous communication between the left axillary and the left pulmonary artery. Pressure measurements revealed pulmonary hypertension. An endovascular repair of the fistula was performed during repeat coronary angiography with an implantation of two self-expandable covered polytetrafluoroethylene stent grafts measuring 9 and 10 mm in diameter respectively, and thus resulting in a complete obstruction of the abnormal communication. During a follow-up period of 2 months the patient showed a significant improvement in his clinical condition.

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Systemic-to-pulmonary collaterals in pathological states: a review.

Cited by 48 publications

References 0 publications

The anatomy of left bronchus syndrome

The anatomy of left bronchus syndrome

Genç Erişkin Bir Olguda Konjenital Bronşiyal Arter - Pulmoner Arter Fistülü

Endovascular Repair of a Left Axillary–Left Pulmonary Artery Fistula: Report of a Case

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