title: Coronary to bronchial artery fistula causing massive hemoptysis in patients with longstanding pulmonary tuberculosis.
abstract: We report on three cases of longstanding pulmonary tuberculosis patients with coronary to bronchial artery fistula (CBF) who presented with recurrent massive hemoptysis. The first and second patients died because of decreased functional pulmonary volume plus massive hemoptysis and cannulation failure of CBF due to hypovolemic vasospasm, respectively. When recurrent hemoptysis occurs despite successful embolization treatment, CBF should be considered as a potential bleeding source. Moreover, a coronary angiography should be performed, especially in patients with longstanding cardiopulmonary disease such as pulmonary tuberculosis.
authors.affiliation: Department of Radiology, Hallym University College of Medicine, Gyeonggi-do 431-070, Korea.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Yoon
authors.forename: Eui Yong
authors.initials: EY
authors.lastname: Jeon
authors.forename: In Jae
authors.initials: IJ
authors.lastname: Lee
authors.forename: Sung Hye
authors.initials: SH
authors.lastname: Koh
mesh_terms: D000368:Aged; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D005260:Female; D006469:Hemoptysis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000150:complications*