Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by (13)N-Ammonia Positron Emission Tomography

A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary’s Hospital with recurrent transient ischemic attack. Radiofrequency ablation was performed to resolve the patient’s atrial fibrillation, but failed. However, a fistula between the left circumflex arte...

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Detalles Bibliográficos
Autores principales: Choi, Hang Jun, Kim, Hwan Wook, Kim, Do Yeon, Choi, Kuk Bin, Jo, Keon Hyon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5460972/
https://www.ncbi.nlm.nih.gov/pubmed/28593161
http://dx.doi.org/10.5090/kjtcs.2017.50.3.220
Descripción
Sumario:A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary’s Hospital with recurrent transient ischemic attack. Radiofrequency ablation was performed to 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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