Bronchial artery-pulmonary artery fistulae are rare vascular malformations most commonly caused by infection. Our case presents a 57-year-old male who presented to the Emergency Department with a symptomatic bronchial artery-pulmonary artery fistula due to cavitating pulmonary tuberculosis (TB). The diagnosis was made with multiphase CT angiography of the thorax (including pulmonary and systemic arterial phases). The patient was brought to interventional radiology for further investigation and management. The left upper lobe bronchial artery-pulmonary artery fistula was successfully identified and treated with endovascular embolization. Bronchial artery-pulmonary artery fistulae can pose a diagnostic and therapeutic challenge. Our case demonstrates endovascular embolization as an effective method of treating symptomatic bronchial artery-pulmonary artery fistulae.
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| http://dx.doi.org/10.1093/jscr/rjae405 | DOI Listing |
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Article Synopsis
- - Bronchial artery-pulmonary artery fistula (BPF) is a rare blood vessel issue related to conditions like congenital heart disease and usually shows up in adulthood alongside hemoptysis (coughing up blood) as a symptom.
- - Bronchial Dieulafoy disease (BDD) is another uncommon vascular anomaly involving an abnormal artery in the bronchial tree, often linked to chronic inflammation or injury.
- - This report highlights a unique case where BPF and BDD occurred together in a patient with recurrent hemoptysis, emphasizing the importance of accurate diagnosis through angiography and bronchoscopy to improve clinical understanding of these conditions.
Consolidation in the right middle lobe in pediatric bronchial-pulmonary artery shunt: radiology's Aunt Minnie?
Diagn Interv Radiol
October 2024
Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Department of Radiology, Beijing, China.
Purpose: By retrospectively studying the chest computed tomography (CT) data of children with bronchial artery (BA)-pulmonary artery fistula, this study summarizes the characteristic imaging features of the disease and provides imaging support for the diagnosis and clinical treatment of these children.
Methods: Digital subtraction angiography and CT angiography data were collected from 74 children with pulmonary hemorrhage following BA embolization. Bronchial-pulmonary shunt was present in 30 cases.
[Recurrent hemoptysis after aorta aneurysm stent implantation: a case report].
Zhonghua Jie He He Hu Xi Za Zhi
August 2024
Department of Pulmonary and Critical Care Medicine, the First People's Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, China.
The etiology of hemoptysis is diverse and complex, with aorta aneurysm being identified as a rare cause of cryptogenic hemoptysis. Here, we reported a 56-year-old male patient who experienced hemoptysis due to a thoracic aorta aneurysm that persisted despite stent implantation. Further investigation revealed the presence of a lateral thoracic artery-pulmonary artery fistula and an aortobronchial fistula, diagnosed by angiography and multidisciplinary consultation.
View Article and Find Full Text PDFLarge bronchial artery-pulmonary artery fistula due to cavitating tuberculosis.
J Surg Case Rep
June 2024
Department of Interventional Radiology, St James Hospital Dublin, Dublin 8, Ireland.
Bronchial artery-pulmonary artery fistulae are rare vascular malformations most commonly caused by infection. Our case presents a 57-year-old male who presented to the Emergency Department with a symptomatic bronchial artery-pulmonary artery fistula due to cavitating pulmonary tuberculosis (TB). The diagnosis was made with multiphase CT angiography of the thorax (including pulmonary and systemic arterial phases).
View Article and Find Full Text PDFRare location of congenital bronchial artery-pulmonary artery fistula.
Eur Heart J Cardiovasc Imaging
April 2024
Department of Radiology, Liaocheng Hospital Affiliated to Shandong First Medical University (Liaocheng People's Hospital), No. 67, Dongchangfu District, Liaocheng City, Shandong Province 252000, China.
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