Local pulmonary malformation caused by bilateral coronary artery : and bronchial artery fistulae to the left pulmonary artery in a patient with coronary artery disease

At 10 years of age and again at 25, our patient had been treated for pulmonary tuberculosis due to the presence of a localized pulmonary shadow. Coronary angiography at age 59 revealed 3 fistulous communications: from the right and circumflex coronary arteries and from the left bronchial artery. All...

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Veröffentlicht in:Texas Heart Institute journal 2000, Vol.27 (4), p.390-394
Hauptverfasser: CIJAN, Andrej, ZORC-PLESKOVIC, Ruda, ZORC, Marjeta, KLOKOCOVNIK, Tomislav
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creator CIJAN, Andrej
ZORC-PLESKOVIC, Ruda
ZORC, Marjeta
KLOKOCOVNIK, Tomislav
description At 10 years of age and again at 25, our patient had been treated for pulmonary tuberculosis due to the presence of a localized pulmonary shadow. Coronary angiography at age 59 revealed 3 fistulous communications: from the right and circumflex coronary arteries and from the left bronchial artery. All 3 emptied into the same recipient artery, the distal part of a left pulmonary artery branch, which produced substantial left-to-right shunt. On computed tomography, cystic formations could be seen in the pulmonic area. The pulmonary tuberculosis for which this patient had been treated in his youth was in the same part of the lung where the shunt was discovered. Our conclusion is that the initial diagnosis was in error.
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Coronary angiography at age 59 revealed 3 fistulous communications: from the right and circumflex coronary arteries and from the left bronchial artery. All 3 emptied into the same recipient artery, the distal part of a left pulmonary artery branch, which produced substantial left-to-right shunt. On computed tomography, cystic formations could be seen in the pulmonic area. The pulmonary tuberculosis for which this patient had been treated in his youth was in the same part of the lung where the shunt was discovered. Our conclusion is that the initial diagnosis was in error.</abstract><cop>Houston, TX</cop><pub>Texas Heart Institute</pub><pmid>11198313</pmid><tpages>5</tpages></addata></record>
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subjects Arterio-Arterial Fistula - complications
Arterio-Arterial Fistula - congenital
Arterio-Arterial Fistula - diagnostic imaging
Biological and medical sciences
Bronchial Arteries - abnormalities
Bronchial Arteries - diagnostic imaging
Cardiology. Vascular system
Congenital Heart Disease
Coronary Disease - complications
Coronary heart disease
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnostic imaging
Cysts - diagnostic imaging
Cysts - etiology
Diagnostic Errors
Heart
Humans
Lung Diseases - diagnostic imaging
Lung Diseases - etiology
Male
Medical sciences
Middle Aged
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Radiography
Tuberculosis, Pulmonary - diagnosis
title Local pulmonary malformation caused by bilateral coronary artery : and bronchial artery fistulae to the left pulmonary artery in a patient with coronary artery disease
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