Coronary to bronchial artery fistula causing massive hemoptysis in patients with longstanding pulmonary tuberculosis

• Published in: Korean journal of radiology Vol. 13; no. 1; pp. 102 - 106
• Main Authors: Yoon, Ji Young, Jeon, Eui Yong, Lee, In Jae, Koh, Sung Hye
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Radiology 01.01.2012; 대한영상의학회
• Subjects: Aged; Arterio-Arterial Fistula - complications; Arterio-Arterial Fistula - diagnosis; Case Report; Embolization, Therapeutic; Emergency medical care; Fatal Outcome; Female; Hemoptysis - etiology; Hemoptysis - therapy; Humans; Male; Medical imaging; Middle Aged; Stents; Tomography, X-Ray Computed; Tuberculosis; Tuberculosis, Pulmonary - complications; Veins & arteries; 방사선과학; Bronchial artery; Embolization; Hemoptysis; Coronary artery; Pulmonary tuberculosis
• ISSN: 1229-6929; 2005-8330
• DOI: 10.3348/kjr.2012.13.1.102

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.