[Localized dilatation of the bronchi. A misunderstood etiology of coronaro-bronchial fistula].
The authors report the case of a coronary to bronchial artery anastomosis secondary to focal bronchiectasis. The diagnosis was made after finding large retroatrial vessels on coronary arteriography. A pulmonary steal syndrome, frequently reported in this condition in the literature, was not present in that particular case. The diagnosis of a coronary to bronchial artery anastomosis should alert the physician to possible underlying cardiac disease (Tetralogy of Fallot, supravalvular aortic stenosis, severe coronary artery disease). A bronchopulmonary etiology (chronic obstructive airways disease, multiple bullae, bronchiectasis) is less commonly found as the presentation is often atypical.
Abergel
E
E
Clinique de cardiologie, hôpital Broussais, Paris.
Aouate
J M
JM
Geslin
J
J
Lavergne
T
T
Pernes
J M
JM
Ourback
P
P
D015901:Angiography, Digital Subtraction; D001981:Bronchial Arteries / Q000000981:diagnostic imaging*; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D001987:Bronchiectasis / Q000150:complications*; D001995:Bronchography; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged
Dilatation des bronches localisée. Etiologie méconnue de fistule coronaro-bronchique.