Korean J Thorac Cardiovasc Surg.  2017 Jun;50(3):220-223. 10.5090/kjtcs.2017.50.3.220.

Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by ¹³N-Ammonia Positron Emission Tomography

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. kimhwanwook@gmail.com

Abstract

A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary's Hospital with recurrent transient ischemic attack. Radiofrequency ablation was performed to resolve the patient's atrial fibrillation, but failed. However, a fistula between the left circumflex artery and the bilateral bronchial arteries was found on computed tomography. Fistula ligation and a left-side maze operation were planned due to his recurrent symptom of dizziness, and these procedures were successfully performed. After the operation, the fistula was completely divided and no recurrence of atrial fibrillation took place. A coronary-bronchial artery fistula is a rare anomaly, and can be safely treated by surgical repair.

Keyword

Coronary artery disease; Fistula; Bronchial arteries

MeSH Terms

Aged
Arteries*
Atrial Fibrillation
Bronchial Arteries
Bronchiectasis
Catheter Ablation
Coronary Artery Disease
Dizziness
Electrons*
Fistula*
Humans
Ischemic Attack, Transient
Ligation
Male
Myocardial Ischemia*
Positron-Emission Tomography*
Recurrence
Seoul
Full Text Links
  • KJTCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr