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Congenital bronchial artery to pulmonary artery fistula presenting as hemoptysis. | LitMetric

AI Article Synopsis

  • A 51-year-old man experienced two weeks of coughing up blood (hemoptysis) and was found to have a fistula between the bronchial and pulmonary arteries in his right upper lobe via pulmonary angiography.
  • Despite undergoing angioembolization, the bleeding returned a year later, likely due to blood flowing backward from the pulmonary artery.
  • To resolve the issue, the patient underwent surgery to remove the right upper lobe (lobectomy), which successfully stopped the bleeding.

Article Abstract

A 51-year-old male presented with 2 weeks of hemoptysis. Pulmonary angiography was performed and identified a bronchial artery to pulmonary artery fistula of the right upper lobe. Despite angioembolization, the hemoptysis recurred 1 year later. It was hypothesized that the recurrence occurred due to retrograde filling from the pulmonary arterial side of the abnormality. Right upper lobectomy was performed and resulted in resolution of hemoptysis. We present a case report of a rare, congenital bronchial artery to pulmonary artery fistula.

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Source
http://dx.doi.org/10.1016/j.athoracsur.2014.10.057DOI Listing

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