Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary’s Hospital w ith recurrent t ransient i schemic a ttack. R adiofrequency ablation w as p erformed t o resolve the patient’s atrial fibrillation, but failed. However, a fistula between the left circu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2017-06-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.3.220 |
| Summary: | A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary’s
Hospital w ith recurrent t ransient i schemic a ttack. R adiofrequency ablation w as p erformed t o resolve the patient’s
atrial fibrillation, but failed. However, a fistula between the left circumflex artery and the bilateral
bronchial arteries was found on computed tomography. Fistula ligation and a left-side maze operation were
planned due to his recurrent symptom of dizziness, and these procedures were successfully performed. After
the operation, the fistula was completely divided and no recurrence of atrial fibrillation took place. A coronary-
bronchial artery fistula is a rare anomaly, and can be safely treated by surgical repair. |
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| ISSN: | 2233-601X 2093-6516 |