Localized bronchiectasis is a definite association of coronaro-bronchial artery fistula.
An 81-year-old smoker presented with acute coronary syndrome. Coronary angiography revealed severe double-vessel disease, as well as the incidental finding of a coronaro-bronchial artery fistula that arose from the left circumflex artery. Percutaneous coronary intervention was performed on the culprit lesion in the left anterior descending artery. A subsequent high-resolution computed tomography of the thorax revealed mild bronchiectic change in the corresponding area supplied by the coronaro-bronchial artery fistula. The patient had a normal lung function test and never had any chest symptoms. From the literature, the association of the coronaro-bronchial artery fistula and localized bronchiectasis is very definite, but the pathophysiology is still controversial.
Jim
Man-Hong
MH
Department of Medicine, Queen Mary Hospital, Pokfulam Road, Hong Kong. jimmanh2002@yahoo.com
Lee
Stephen Wai-luen
SW
Lam
Linda
L
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000000981:diagnostic imaging* / Q000628:therapy; D001981:Bronchial Arteries / Q000002:abnormalities / Q000000981:diagnostic imaging*; D001987:Bronchiectasis; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed