Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea

Farid Maalouf; Nadine Kawkabani; Simon Bejjani; Omar Boustros; Nabil Khoury; Abbas Chamsuddin; Rola Darwish; Pierrette Habib; Bassam Abou Khalil; Paul Charbel

doi:doi:10.11648/j.ijcts.20190503.11

Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea

Farid Maalouf, Nadine Kawkabani, Simon Bejjani, Omar Boustros, Nabil Khoury, Abbas Chamsuddin, Rola Darwish, Pierrette Habib, Bassam Abou Khalil, Paul Charbel

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 5, Issue 3)

Received: 29 May 2019 Accepted: 29 June 2019 Published: 11 July 2019

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Abstract

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.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 5, Issue 3)
DOI	10.11648/j.ijcts.20190503.11
Page(s)	56-59
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Coronary Bronchial Artery Fistula, Bronchiectasis, Lung Bullae, Microcoil Embolization

References

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[6]	Lim JJ, Jung JI, Lee BY, Lee HG. Prevalence and types of coronary artery fistulas detected with coronary CT angiography. American Journal of Roentgenology. 2014 Sep; 203 (3): W237-43.
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[8]	Said SA, Oortman RM, Hofstra JH, et al. Coronary artery-bronchial artery fistulas: report of two Dutch cases with a review of the literature. Neth Heart J. 2014; 22: 139–47. doi: 10.1007/s12471-014-0518-z.
[9]	Challoumas D, Pericleous A, Dimitrakaki IA, Danelatos C, Dimitrakakis G. Coronary arteriovenous fistulae: a review. International Journal of Angiology. 2014 Mar; 23 (01): 001-10.
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[16]	Jama A, Barsoum M, Bjarnason H, Holmes DR, Rihal CS. Percutaneous closure of congenital coronary artery fistulae: results and angiographic follow-up. JACC: Cardiovascular Interventions. 2011 Jul 1; 4 (7): 814-21.
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APA Style

Farid Maalouf, Nadine Kawkabani, Simon Bejjani, Omar Boustros, Nabil Khoury, et al. (2019). 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, 5(3), 56-59. https://doi.org/10.11648/j.ijcts.20190503.11

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ACS Style

Farid Maalouf; Nadine Kawkabani; Simon Bejjani; Omar Boustros; Nabil Khoury, et al. Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea. Int. J. Cardiovasc. Thorac. Surg. 2019, 5(3), 56-59. doi: 10.11648/j.ijcts.20190503.11

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AMA Style

Farid Maalouf, Nadine Kawkabani, Simon Bejjani, Omar Boustros, Nabil Khoury, et al. Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea. Int J Cardiovasc Thorac Surg. 2019;5(3):56-59. doi: 10.11648/j.ijcts.20190503.11

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@article{10.11648/j.ijcts.20190503.11,
  author = {Farid Maalouf and Nadine Kawkabani and Simon Bejjani and Omar Boustros and Nabil Khoury and Abbas Chamsuddin and Rola Darwish and Pierrette Habib and Bassam Abou Khalil and Paul Charbel},
  title = {Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {5},
  number = {3},
  pages = {56-59},
  doi = {10.11648/j.ijcts.20190503.11},
  url = {https://doi.org/10.11648/j.ijcts.20190503.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20190503.11},
  abstract = {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.},
 year = {2019}
}

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TY  - JOUR
T1  - Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea
AU  - Farid Maalouf
AU  - Nadine Kawkabani
AU  - Simon Bejjani
AU  - Omar Boustros
AU  - Nabil Khoury
AU  - Abbas Chamsuddin
AU  - Rola Darwish
AU  - Pierrette Habib
AU  - Bassam Abou Khalil
AU  - Paul Charbel
Y1  - 2019/07/11
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcts.20190503.11
DO  - 10.11648/j.ijcts.20190503.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 56
EP  - 59
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20190503.11
AB  - 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.
VL  - 5
IS  - 3
ER  -

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Author Information

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

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Plain Text BibTeX RIS

APA Style

Farid Maalouf, Nadine Kawkabani, Simon Bejjani, Omar Boustros, Nabil Khoury, et al. (2019). 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, 5(3), 56-59. https://doi.org/10.11648/j.ijcts.20190503.11

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ACS Style

Farid Maalouf; Nadine Kawkabani; Simon Bejjani; Omar Boustros; Nabil Khoury, et al. Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea. Int. J. Cardiovasc. Thorac. Surg. 2019, 5(3), 56-59. doi: 10.11648/j.ijcts.20190503.11

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AMA Style

Farid Maalouf, Nadine Kawkabani, Simon Bejjani, Omar Boustros, Nabil Khoury, et al. Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea. Int J Cardiovasc Thorac Surg. 2019;5(3):56-59. doi: 10.11648/j.ijcts.20190503.11

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@article{10.11648/j.ijcts.20190503.11,
  author = {Farid Maalouf and Nadine Kawkabani and Simon Bejjani and Omar Boustros and Nabil Khoury and Abbas Chamsuddin and Rola Darwish and Pierrette Habib and Bassam Abou Khalil and Paul Charbel},
  title = {Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {5},
  number = {3},
  pages = {56-59},
  doi = {10.11648/j.ijcts.20190503.11},
  url = {https://doi.org/10.11648/j.ijcts.20190503.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20190503.11},
  abstract = {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.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Case Report: A Rare Case of Coronary-Bronchial Fistula Associated with a Large Lung Bullae and Bronchiectasis Presenting as Dyspnea
AU  - Farid Maalouf
AU  - Nadine Kawkabani
AU  - Simon Bejjani
AU  - Omar Boustros
AU  - Nabil Khoury
AU  - Abbas Chamsuddin
AU  - Rola Darwish
AU  - Pierrette Habib
AU  - Bassam Abou Khalil
AU  - Paul Charbel
Y1  - 2019/07/11
PY  - 2019
N1  - https://doi.org/10.11648/j.ijcts.20190503.11
DO  - 10.11648/j.ijcts.20190503.11
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 56
EP  - 59
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20190503.11
AB  - 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.
VL  - 5
IS  - 3
ER  -

Copy | Download