Korean J Radiol.  2012 Feb;13(1):102-106. 10.3348/kjr.2012.13.1.102.

Coronary to Bronchial Artery Fistula Causing Massive Hemoptysis in Patients with Longstanding Pulmonary Tuberculosis

• Yoon JY
• Jeon EY
• Lee IJ
• Koh SH

• KMID: 1058801
• DOI: http://doi.org/10.3348/kjr.2012.13.1.102

Abstract

We report on three cases of longstanding pulmonary tuberculosis patients with coronary to bronchial artery fistula (CBF) who presented with recurrent massive hemoptysis. The first and second patients died because of decreased functional pulmonary volume plus massive hemoptysis and cannulation failure of CBF due to hypovolemic vasospasm, respectively. When recurrent hemoptysis occurs despite successful embolization treatment, CBF should be considered as a potential bleeding source. Moreover, a coronary angiography should be performed, especially in patients with longstanding cardiopulmonary disease such as pulmonary tuberculosis.

Keyword

Coronary artery; Bronchial artery; Pulmonary tuberculosis; Hemoptysis; Embolization

MeSH Terms

Aged
Arterio-Arterial Fistula/*complications/diagnosis
*Embolization, Therapeutic
Fatal Outcome
Female
Hemoptysis/*etiology/*therapy
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Tuberculosis, Pulmonary/*complications