Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea
International Journal of Cardiovascular and Thoracic Surgery
Volume 5, Issue 3, May 2019, Pages: 56-59
Received: May 29, 2019;
Accepted: Jun. 29, 2019;
Published: Jul. 11, 2019
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Farid Maalouf, Cardiology Department, Saint George Hospital University, Medical Center, Balamand University, Beirut, Lebanon
Nadine Kawkabani, Cardiac Anesthesia Department, Saint George Hospital University, Medical Center Balamand University, Beirut, Lebanon
Simon Bejjani, Cardiothoracic Surgery Department, Saint George Hospital, Medical Center, Balamand University, Beirut, Lebanon
Omar Boustros, Cardiothoracic Surgery Department, Saint George Hospital, Medical Center, Balamand University, Beirut, Lebanon
Nabil Khoury, Respiratory and Critical Care Department, Saint George Hospital, Medical Center, Balamand University, Beirut, Lebanon
Abbas Chamsuddin, Interventional Radiology Department, Saint George Hospital, Medical Center, Balamand, University, Beirut, Lebanon
Rola Darwish, Cardiac Anesthesia Department, Saint George Hospital University, Medical Center Balamand University, Beirut, Lebanon
Pierrette Habib, Cardiology Department, Saint George Hospital University, Medical Center, Balamand University, Beirut, Lebanon
Bassam Abou Khalil, Cardiothoracic Surgery Department, Saint George Hospital, Medical Center, Balamand University, Beirut, Lebanon
Paul Charbel, Cardiology Department, Saint George Hospital University, Medical Center, Balamand University, Beirut, Lebanon
Coronary artery fistulas (CAF) are rare but hemodynamically significant anomalies. Although asymptomatic, they can be associated with several cardiorespiratory conditions. Coronary to bronchial fistulas (CBF) account for 0.5% to 0.61% of coronary artery fistulas, with fistulas arising from the right coronary artery being exceedingly rare. These fistulas are known to be associated with bronchiectasis but not lung bullae. The following paper reports a rare case of a coronary to bronchial fistula associated to bronchiectasis and lung bullae. The patient presented for dyspnea and was found to have a large lung bullae, bronchiectasis and a coronary to bronchial artery fistula arising from the right coronary artery and terminating into the left bronchial artery. The CBF was successfully managed first with percutaneous microcoil embolization then the bullae was resected thoracoscopically three days later. However, more case reports are mandatory in order to further understand the etiology and pathophysiology of these fistulas, elucidate their relationship to other pathologies such as bronchiectasis and lung bullae and determine the optimal therapeutic measures.
Bassam Abou Khalil,
Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea, International Journal of Cardiovascular and Thoracic Surgery.
Vol. 5, No. 3,
2019, pp. 56-59.
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