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KMID : 0364020170500030220
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Korean Journal of Thoracic and Cardiovascular Surgery
2017 Volume.50 No. 3 p.220 ~ p.223
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Surgical Management of a Coronary-Bronchial Artery Fistula Combined with Myocardial Ischemia Revealed by 13N-Ammonia Positron Emission Tomography
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Choi Hang-Jun
Kim Hwan-Wook
Kim Do-Yeon
Choi Kuk-Bin
Jo Keon-Hyon
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Abstract
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A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary’s Hospital with recurrent transient ischemic attack. Radiofrequency ablation was performed to resolve the patient’s atrial fibrillation, but failed. However, a fistula between the left circumflex artery and the bilateral bronchial arteries was found on computed tomography. Fistula ligation and a left-side maze operation were planned due to his recurrent symptom of dizziness, and these procedures were successfully performed. After the operation, the fistula was completely divided and no recurrence of atrial fibrillation took place. A coronary-bronchial artery fistula is a rare anomaly, and can be safely treated by surgical repair.
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KEYWORD
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Coronary artery disease, Fistula, Bronchial arteries
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