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February 7, 2012The Korean Journal of Thoracic and Cardiovascular SurgeryOpen Access

Coronary-Bronchial Artery Fistula Manifested by Hemoptysis and Myocardial Ischemia in a Patient with Bronchiectasis

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Key result

Surgical removal of a coronary-bronchial artery fistula and left lower lung lobectomy successfully resolved massive hemoptysis and myocardial ischemia, with no recurrence at 24 months.

Population

1 patient with a coronary-bronchial artery fistula, bronchiectasis, massive hemoptysis, and myocardial…

Design

Case_report

Follow-up

24 months

Authors

WLWoo Surng LeeSUNY Downstate Health Sciences UniversitySLSong Am LeeKonkuk University Medical CenterHCHyun Keun CheeKonkuk University

Discussion

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Implication

Supports surgical resection in rare coronary-bronchial fistulas with hemoptysis; leaves open generalizability pending larger series.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 57-year-old man with bronchiectasis who presented with massive hemoptysis and myocardial ischemia due to a coronary-bronchial artery fistula, followed for 24 months.
I
Intervention
Left lower lung lobectomy and surgical removal of the coronary-bronchial artery fistula.
O
Outcome
Clinical symptom improvement (chest tightness and dyspnea) and recurrence of symptoms.

Surgical resection of a coronary-bronchial artery fistula and the affected lung lobe successfully treated massive hemoptysis and myocardial ischemia in a patient with bronchiectasis.

Limitations

  • Standard treatment method for coronary fistulas has not yet been determined
  • Further studies with a larger number of cases are needed to understand clinical features and establish standard treatment

Cite This Study

Lee et al. (2012) conducted a case report in Coronary-bronchial artery fistula and bronchiectasis (n=1). Surgical removal of fistula and left lower lung lobectomy was evaluated on Symptom resolution and recurrence. Surgical removal of a coronary-bronchial artery fistula and left lower lung lobectomy successfully resolved massive hemoptysis and myocardial ischemia, with no recurrence at 24 months.

synapsesocial.com/papers/6aa0c8bb5c6473af29f7a137https://doi.org/10.5090/kjtcs.2012.45.1.49
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Coronary artery fistulas in adults: Incidence, angiographic characteristics, natural history1995 · 313 citations