Congenital Bronchial Artery - Pulmonary Artery Fistula in a Young Adult

Yıl 2015, Cilt: 40 Sayı: 4, 830 - 835, 05.10.2015

Sibel Kara Nazan Şen Uğur Özkan Şule Akçay

https://doi.org/10.17826/cutf.29971

Cited By: 1

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

Hemoptysis, vascular malformation, bronchial artery-pulmonary artery fistula, bronchial artery embolization

Genç Erişkin Bir Olguda Konjenital Bronşiyal Arter - Pulmoner Arter Fistülü

Öz

Bronşial arter ve pulmoner arter veya pulmoner ven arasındaki bağlantı gibi primer vasküler malformasyonlar olukça nadirdir. İlk kez olan masif hemoptizi ile başvuran 18 yaşındaki bir erkek hastada selektif bronşial anjiografide nadir bir vasküler anomali olan bronşial arter-pulmoner arter fistülü saptandı. Öyküde hiç bir kazanılmış neden bulunmadığı için konjenital olarak düşünüldü. Olguya bronşial arter embolizasyonu uygulandı ve hemoptizisi endovasküler tedaviden sonra tamamen düzeldi. Masif hemoptizili hastalarda böyle vasküler anomalilerden şüphelenilmelidir. Bronşial arter embolizasyonu bu hastalarda güvenli ve etkili cerrahi olmayan bir tedavi yöntemidir.

Anahtar Kelimeler

Hemoptizi, vasküler malformasyon, bronşial arter-pulmoner arter fistülü broşial arter embolizasyonu

Kaynakça

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