Korean J Med.  2007 Sep;73(3):330-335.

Enlarged coronary-bronchial artery anastomosis in cystic bronchiectasis: A case report

• Cheon BC
• Park IH
• Yu JH
• Chang SJ
• Hong JS
• Ahn KJ
• Jeon EY

Abstract

Anastomoses between a coronary artery and bronchial or mediastinal arteries have been described since the 19th century. Although coronary-to-bronchial artery communication has been well described, it remains an unusual finding. We report one adult case of abnormally enlarged two coronary-to-bronchial artery communications in a severe cystic bronchiectasis patient. In this case, the bronchial arteries were also supplied from the multiple systemic arteries (the internal mammary, subclavian, inferior phrenic and intercostal arteries) because of severe cystic bronchiectasis. We treated the patient by embolization of the bronchial artery with the abnormal anastomoses and then by surgical resection of the cystic bronchiectatic lung lesion. To date, the patient remains free of symptoms.

Keyword

Anastomosis; Steal syndrome; Bronchiectasis

MeSH Terms

Adult
Arteries*
Bronchial Arteries
Bronchiectasis*
Coronary Vessels
Humans
Lung