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KMID : 0880420120130010102
Korean Journal of Radiology
2012 Volume.13 No. 1 p.102 ~ p.106
Coronary to Bronchial Artery Fistula Causing Massive Hemoptysis in Patients with Longstanding Pulmonary Tuberculosis
Yoon Ji-Young

Jeon Eui-Yong
Lee In-Jae
Koh Sung-Hye
Abstract
We report on three cases of longstanding pulmonary tuberculosis patients with coronary to bronchial artery fistula (CBF) who presented with recurrent massive hemoptysis. The first and second patients died because of decreased functional pulmonary volume plus massive hemoptysis and cannulation failure of CBF due to hypovolemic vasospasm, respectively. When recurrent hemoptysis occurs despite successful embolization treatment, CBF should be considered as a potential bleeding source. Moreover, a coronary angiography should be performed, especially in patients with longstanding cardiopulmonary disease such as pulmonary tuberculosis.
KEYWORD
Coronary artery, Bronchial artery, Pulmonary tuberculosis, Hemoptysis, Embolization
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