Bronchial to subclavian shunt in a CF patient. A potential pitfall for embolization.
Bronchial artery embolization is a well accepted and widely used technique in the management of massive haemoptysis in cystic fibrosis (CF). It can be a complex procedure requiring a deep knowledge of the bronchial artery anatomy including the possible bronchial anastomoses. We report a case of complex vascular anatomy of the left bronchial artery with multiple anastomoses with the ipsilateral subclavian artery as cause of non-attempted embolization.
Furnari
M L
ML
Cystic Fibrosis Regional Center, Children Hospital 'Di Cristina' ARNAS, Palermo, Italy.
Salerno
S
S
Rabiolo
A
A
Caravello
V
V
Pardo
F
F
D000293:Adolescent; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging*; D001981:Bronchial Arteries / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002404:Catheterization; D003550:Cystic Fibrosis / Q000150:complications* / Q000175:diagnosis; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011859:Radiography; D018570:Risk Assessment; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D017211:Treatment Failure