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...

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Main Authors: Hang Jun Choi, Hwan Wook Kim, Do Yeon Kim, Kuk Bin Choi, Keon Hyon Jo
Format: Article
Language:English
Published: Korean Society for Thoracic and Cardiovascular Surgery 2017-06-01
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
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author Hang Jun Choi
Hwan Wook Kim
Do Yeon Kim
Kuk Bin Choi
Keon Hyon Jo
author_facet Hang Jun Choi
Hwan Wook Kim
Do Yeon Kim
Kuk Bin Choi
Keon Hyon Jo
author_sort Hang Jun Choi
collection DOAJ
description 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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spelling doaj.art-927e455df8d54212b28b165faa08ad112022-12-21T19:04:10ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162017-06-0150322022310.5090/kjtcs.2017.50.3.220Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission TomographyHang Jun Choi0Hwan Wook Kim1Do Yeon Kim2Kuk Bin Choi3Keon Hyon Jo4Seoul St. Mary’s HospitalSeoul St. Mary’s HospitalSeoul St. Mary’s HospitalSeoul St. Mary’s HospitalSeoul St. Mary’s HospitalA 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.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.3.220Coronary artery diseaseFistulaBronchial arteries
spellingShingle Hang Jun Choi
Hwan Wook Kim
Do Yeon Kim
Kuk Bin Choi
Keon Hyon Jo
Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
Korean Journal of Thoracic and Cardiovascular Surgery
Coronary artery disease
Fistula
Bronchial arteries
title Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
title_full Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
title_fullStr Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
title_full_unstemmed Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
title_short Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
title_sort surgical management of a coronary bronchial artery fistula combined with myocardial ischemia revealed by 13n ammonia positron emission tomography
topic Coronary artery disease
Fistula
Bronchial arteries
url http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.3.220
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