Document Detail


Coronary-to-bronchial anastomosis: an unusual cause of hemoptysis.
MedLine Citation:
PMID:  17667040     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary-to-bronchial anastomosis (CBA) is a rare anomaly. This vascular abnormality may be subclinical or be responsible for several pathophysiological events and symptoms involving the respiratory and/or the coronary system. We report the case of a patient with hemoptysis caused by this anomalous coronary-to-bronchial communication, who was concomitantly affected by aortic stenosis and coronary artery disease requiring surgical treatment. A coronary angiogram clearly demonstrated the abnormal vascular connection between the proximal right coronary artery and the bronchial arteries of the left inferior right lobe. The coronary branch was intra-operatively identified and ligated, in association with aortic valve replacement and coronary artery bypass, with an uneventful postoperative course and resolution of the respiratory symptoms. This case presents an unusual cause of hemoptysis due to CBA in patients with other cardiac comorbidities, which required surgical treatment, allowing direct ligation of the CBA. A review of the clinical and therapeutic characteristics of such a peculiar vascular abnormality is also provided.
Authors:
Roberto Lorusso; Giuseppe De Cicco; Pompilio Faggiano; Ermanna Chiari; Matilde Nardi; Salvatore Curello; Federica Ettori; Luigi Niccoli
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  8     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-09-21     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  642-4     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Civic Hospital, Brescia, Italy. ro.lorusso@libero.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Valve Stenosis / complications,  surgery
Arterio-Arterial Fistula / complications,  diagnosis*,  surgery
Bronchial Arteries / abnormalities*,  radiography,  surgery
Cardiac Surgical Procedures*
Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease / complications,  surgery
Coronary Vessel Anomalies / complications,  diagnosis*,  surgery
Heart Valve Prosthesis Implantation
Hemoptysis / etiology*,  radiography,  surgery
Humans
Ligation
Male
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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