Journal List > J Korean Soc Radiol > v.66(4) > 1087102

Kang, Lee, Kim, Lee, and Oh: Diagnosis of Incidental Coronary-to-Bronchial Artery Fistula with CT Angiography: A Case Report

Abstract

We report the case of a 64-year-old man with coronary-to-bronchial artery fistula (CBF) that was detected incidentally; the patient presented with the clinical manifestations of aortic dissection. Coronary CT angiography demonstrated tortuous vessels originating from the left circumflex coronary artery that were in communication with the bronchial arteries. CBF is a rare coronary artery anomaly and CBFs are asymptomatic in most cases. Familiarity with CT findings of CBF may help diagnose the incidental finding of CBF through the use of CT angiography undertaken for a different diagnostic purpose.

References

1. Matsunaga N, Hayashi K, Sakamoto I, Ogawa Y, Matsuoka Y, Imamura T, et al. Coronary-to-pulmonary artery shunts via the bronchial artery: analysis of cineangiographic studies. Radiology. 1993. 186:877–882.
2. Lee CM, Leung TK, Wang HJ, Lee WH, Shen LK, Chen YY. Identification of a coronary-to-bronchial-artery communication with MDCT shows the diagnostic potential of this new technology: case report and review. J Thorac Imaging. 2007. 22:274–276.
3. Lee ST, Kim SY, Hur G, Hwang YJ, Kim YH, Seo JW, et al. Coronary-to-bronchial artery fistula: demonstration by 64-multidetector computed tomography with retrospective electrocardiogram-gated reconstructions. J Comput Assist Tomogr. 2008. 32:444–447.
4. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990. 21:28–40.
5. Kim SK, Kim HW, Kim PJ, Chun HJ. Concomitant left and right coronary to bronchial artery fistulae resulting in myocardial ischaemia. Eur J Cardiothorac Surg. 2011. 39:278.
6. Moberg A. Anastomoses between extracardiac vessels and coronary arteries. Acta Med Scand Suppl. 1968. 485:5–26.
7. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002. 22:1395–1409.
8. Yoon YC, Lee KS, Jeong YJ, Shin SW, Chung MJ, Kwon OJ. Hemoptysis: bronchial and nonbronchial systemic arteries at 16-detector row CT. Radiology. 2005. 234:292–298.
TOOLS
Similar articles