Document Detail

A hidden cause of hemoptysis: coronary artery-to-pulmonary parenchyma fistula.
MedLine Citation:
PMID:  22257808     Owner:  NLM     Status:  In-Data-Review    
A 60-year-old man presented with complaints of chronic hemoptysis present for many years and a six-month history of chest pain. Physical examination showed a grade II/VI continuous murmur at the left sternal border. Electrocardiography showed normal sinus rhythm and nonspecific ST-T changes in lateral leads. Echocardiography showed mild left ventricular hypertrophy. Exercise test was discontinued because of anginal symptoms and occurrence of lateral ST depression. Hemoptysis was observed a few times during hospitalization. Computed tomography of the thorax showed no abnormality to explain hemoptysis. Coronary angiography revealed a critical lesion in the left anterior descending artery and a large, tortuous right coronary artery with a fistulization tract originating from its proximal region and draining into the left lung parenchyma. The lesion in the left anterior descending artery was stented and percutaneous coil embolization of the fistula was performed in another session. Coronary angiography showed complete occlusion of the fistula and no residual shunting. In the six-month period after the procedure, the patient was free of symptoms of angina and hemoptysis.
Seref Kul; Yiğit Canga; Tolga Sinan Güvenç; Sinan Sahin
Related Documents :
21881348 - Intrapericardial diaphragmatic hernia after coronary artery bypass grafting using the r...
21224458 - Radial artery grafts vs saphenous vein grafts in coronary artery bypass surgery: a rand...
9050738 - Laparoscopic ligation of hypogastric arteries using the hulka clip to arrest massive va...
21484558 - Multiple aneurysm repair: hybrid approach to chronic dissection around visceral branches.
2266058 - Pulmonary thromboembolism in dogs: 47 cases (1986-1987).
8131558 - Rapid visualization of massive pulmonary emboli utilizing intravascular ultrasound.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır     Volume:  39     ISSN:  1016-5169     ISO Abbreviation:  Turk Kardiyol Dern Ars     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-01-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9426239     Medline TA:  Turk Kardiyol Dern Ars     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  686-9     Citation Subset:  IM    
Department of Cardiology, Siyami Ersek Cardiovascular Surgery Center, İstanbul, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Pacemakers do not always tell the truth: diagnosis of ventricular tachycardia for supraventricular t...
Next Document:  A rare cause of severe mitral regurgitation: mitral valve aneurysm.