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Kim, Kim, and Koh: Endovascular Treatment of Right Coronary-to-Bronchial Anastomosis with Bronchopulmonary Shunt Presenting as Coronary Steal Syndrome: A Case Report
Interventional Radiology
Case Report

Journal of the Korean Society of Radiology 2010; 62(2): 119-122.

Published online: 28 February 2010

DOI: https://doi.org/10.3348/jksr.2010.62.2.119

Endovascular Treatment of Right Coronary-to-Bronchial Anastomosis with Bronchopulmonary Shunt Presenting as Coronary Steal Syndrome: A Case Report

Il Joong Kim, M.D., Dong Hyun Kim, M.D., Young Youp Koh, M.D.2

1Department of Radiology, Chosun University, College of Medicine, Korea.

2Department of Internal Medicine, Chosun University, College of Medicine, Korea.

Address reprint requests to: Young Youp Koh, M.D., Department of Internal Medicine, Division of Cardiology, College of Medicine, Chosun University Hospital, 588 Seoseok-dong, Dong-gu, Gwangju 501-717, Korea. Tel. 82-62-220-3738, Fax. 82-62-228-3858, yykoh@chosun.ac.kr

Received 2 June 2009       Accepted 15 July 2009

Copyright © 2010 The Korean Society of Radiology

Abstract

The occurrence of an anastomosis between the coronary artery to the systemic artery is rare. However, the probability of hemodynamic changes sufficient to cause clinical symptoms is extremely low. Anastomosis of the coronary to bronchial artery can cause myocardial ischemia due to the decreased flow to the coronary arteries. The authors report a case of coronary to bronchial artery anastomosis presenting as coronary steal syndrome that was treated with transarterial microcoil embolization instead of surgical ligation.

Keywords: Embolization, therapeutic, Coronary Artery, Bronchial Arteries

Figures and Tables

Fig. 1

Computed tomography shows bronchiectasis with peribronchial infiltration in the left lower lobe.

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Fig. 2

Coronary angiography shows abnormally enlarged and tortuous artery (arrow) originated from the right coronary artery (A). On delayed phase, shunt into the pulmonary artery (black arrow) is visualized (B).

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Fig. 3

Coronary-to-bronchial anastomosis was treated with transarterial microcoil embolization (A). Post-embolization angiography shows complete occlusion of anastomosis and patent branching vesseles (white arrows) (B-D).

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References

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