Congenital Bronchial Artery - Pulmonary Artery Fistula in a Young Adult
Öz
Primary vascular malformations such as connection between bronchial artery and pulmonary artery or pulmonary vein are quite rare. A 18-year-old male patient with the first episode of massive hemoptysis was found to have bronchial artery-pulmonary artery fistula, a rare vascular anomaly, on selective bronchial angiography. Since medical history revealed no acquired cause, it is considered congenital. He underwent bronchial artery embolization and hemoptysis was completely resolved after endovascular treatment. The presence of such vascular anomalies should be suspected in patients with massive hemoptysis. Bronchial artery embolization is a safe and effective nonsurgical treatment option for such patients.
Anahtar Kelimeler
Kaynakça
- Leslie KO, Yousem SA, Colby TV. Lung. In: Mills SE ed. Histology for pathologists. 3rd ed. Philadelphia: Lippincott Williams and Wilkins., 2007:473-507.
- Gossage JR, Kanj G. Pulmonary arteriovenous malformations. A state of the art review. Am J Respir Crit Care Med. 1998;158:643-61.
- Lacomp P, Lagrance C, Beauched A, El Hajjam M, Chinet T, Pelage JP. Diffuse pulmonary arteriovenous malformations in hereditary hemorrhagic telangiectasia: long-term results of embolization according to the extent of lung involvement. Chest. 2009;135:1031-37.
- Yon JR, Ravenel JG, Congenital bronchial artery- pulmoner artery fistula in an adult. J Comput Assist Tomogr. 2010;34:418-20.
- Sluiter-Eringa H, Orie NG, Sluiter HJ. Pulmonary arteriovenous fistula. Diagnosis and prognosis in non-complainant patients. Am Rev Respir Dis. 1969;100:177-88.
- Dines DE, Arms RA, Bernatz PE, Gomes MR. Pulmonary arteriovenous fistulas. Mayo Clin Proc. 1974;49:460-5.
- Chino M, Kawaguchi T, Sakai T, Okuno T. Intercostal-to-pulmonary arterial anastomosis, complicated by high-output heart failure: case report. Angiology. 1991;42:256-60.
- Do KH, Goo JM, Im JG, Kim KW, Chung JW, Park JH. Systemic arterial supply to the lungs in adults: spiral CT findings. Radiographics. 2001;21:387-402.
- Geyik S, Yavuz K, Keller FS. Unusual systemic artery to pulmonary artery malformation without evidence of systemic disease, trauma or surgery. Cardiovasc Intervent Radiol. 2006;29:897-901.
- Tadavarthy SM, Klugman J, Castaneda-Zuniga WR, Nath PH, Amplatz K. Systemic- to–pulmonary collaterals in pathological states: a review. Radioglogy. 1982;144:55-9.
