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KMID : 0364020120450010049
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Korean Journal of Thoracic and Cardiovascular Surgery
2012 Volume.45 No. 1 p.49 ~ p.52
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Coronary-Bronchial Artery Fistula Manifested by Hemoptysis and Myocardial Ischemia in a Patient with Bronchiectasis
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Lee Woo-Surng
Lee Song-Am
Chee Hyun-Keun
Hwang Jae-Joon
Park Jae-Bum
Lee Jung-Hwa
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Abstract
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A coronary-bronchial artery fistula is a very rare congenital anomaly of the coronary artery whose etiology and pathogenesis have not yet been clarified. Most patients with coronary-bronchial fistulas are asymptomatic; however, some patients present with congestive heart failure, infective endocarditis, myocardial ischemia induced by a coronary steal phenomenon, or rupture of an aneurysmal fistula. Furthermore, patients with a coronary-bronchial artery fistula rarely manifest life-threatening hemoptysis due to the associated bronchiectasis. We report herein the case of a patient with a coronary-bronchial artery fistula who had bronchiectasis and a history of massive hemoptysis and myocardial ischemia.
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KEYWORD
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Fistula, Hemoptysis, Myocardial ischemia
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