Visualization of left bronchial-to-coronary artery communication after distal bronchial artery embolization for bronchiectasis.
We present a 44-year-old woman in whom a bronchial-to-coronary artery communication via the conus branch was discovered after distal bronchial artery embolization with gelatin sponge for hemoptysis. If this bronchial-to-coronary artery anastomosis, not visible prior to embolization, had been inadvertently embolized, the patient could have developed a myocardial infarction. To reduce the likelihood of a serious complication, the possibility of this anastomosis should be kept in mind and angiography should be repeated before attempting proximal bronchial artery embolization.
Miyazono
N
N
Department of Radiology, Faculty of Medicine, Kagoshima University, Japan.
Inoue
H
H
Hori
A
A
Kanetsuki
I
I
Shimada
J
J
Nakajo
M
M
D000328:Adult; D001981:Bronchial Arteries / Q000002:abnormalities / Q000000981:diagnostic imaging; D001987:Bronchiectasis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000075202:Contraindications; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D004621:Embolization, Therapeutic; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000628:therapy; D006801:Humans; D011859:Radiography