Congenital bronchial artery to pulmonary artery fistula presenting as hemoptysis

Daniel G VanDerPloeg; William R Strong; Steven J Krohmer; William N O'Connor; Jeremiah T Martin

doi:10.1016/j.athoracsur.2014.10.057

Congenital bronchial artery to pulmonary artery fistula presenting as hemoptysis

Ann Thorac Surg. 2015 Jan;99(1):e19-20. doi: 10.1016/j.athoracsur.2014.10.057.

Authors

Daniel G VanDerPloeg¹, William R Strong², Steven J Krohmer³, William N O'Connor⁴, Jeremiah T Martin⁵

Affiliations

¹ College of Medicine, University of Kentucky, Lexington, Kentucky. Electronic address: dgvand2@uky.edu.
² Department of Cardiothoracic Surgery, University of Kentucky, Lexington, Kentucky.
³ Department of Interventional Radiology, University of Kentucky, Lexington, Kentucky.
⁴ Department of Pathology and Laboratory Medicine, University of Kentucky, Lexington, Kentucky.
⁵ Department of General Surgery, University of Kentucky, Lexington, Kentucky.

PMID: 25555983
DOI: 10.1016/j.athoracsur.2014.10.057

Abstract

A 51-year-old male presented with 2 weeks of hemoptysis. Pulmonary angiography was performed and identified a bronchial artery to pulmonary artery fistula of the right upper lobe. Despite angioembolization, the hemoptysis recurred 1 year later. It was hypothesized that the recurrence occurred due to retrograde filling from the pulmonary arterial side of the abnormality. Right upper lobectomy was performed and resulted in resolution of hemoptysis. We present a case report of a rare, congenital bronchial artery to pulmonary artery fistula.

Publication types

Case Reports

MeSH terms

Arterio-Arterial Fistula / complications*
Bronchial Arteries*
Hemoptysis / etiology*
Humans
Male
Middle Aged
Pulmonary Artery*