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KMID : 0882420070730030330
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Korean Journal of Medicine
2007 Volume.73 No. 3 p.330 ~ p.335
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Enlarged coronary-bronchial artery anastomosis in cystic bronchiectasis: A case report
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Chon Byoung-Cheol
Park In-Ho
Yu Jeong-Hwa
Chang Sei-Joong
Hong Jong-Seo
Ahn Kyoung-Ju
Jeon Eui-Yong
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Abstract
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Anastomoses between a coronary artery and bronchial or mediastinal arteries have been described since the 19th
century. Although coronary-to-bronchial artery communication has been well described, it remains an unusual finding.
We report one adult case of abnormally enlarged two coronary-to-bronchial artery communications in a severe cystic
bronchiectasis patient. In this case, the bronchial arteries were also supplied from the multiple systemic arteries (the
internal mammary, subclavian, inferior phrenic and intercostal arteries) because of severe cystic bronchiectasis. We
treated the patient by embolization of the bronchial artery with the abnormal anastomoses and then by surgical resection
of the cystic bronchiectatic lung lesion. To date, the patient remains free of symptoms.(Korean J Med 73:330-335, 2007)
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KEYWORD
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Anastomosis, Steal syndrome, Bronchiectasis
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