Coronary to bronchial artery fistula: are we treating it right?
J Invasive Cardiol
; 24(11): E303-4, 2012 Nov.
Article
em En
| MEDLINE
| ID: mdl-23117327
ABSTRACT
Fistulas between coronary artery and bronchial artery may be present from birth, with few hemodynamic consequences, and may remain closed due to similarity of the filling pressures at these 2 sites. They can also be secondary to pulmonary artery occlusive disease or chronic pulmonary inflammation. These pulmonary changes may cause a dilation of the fistula and make it functional, causing angina pectoris by coronary steal syndrome, which is the most common symptom. The presentation may also be composed of episodes of hemoptysis, heart failure, and infective endocarditis. However, most patients remain asymptomatic. The ones that need treatment may not have a good response to the medical management, requiring an intervention. This can be done using embolization coils, stents grafts, and performing surgical ligation of the fistulas.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artérias Brônquicas
/
Fístula Artério-Arterial
/
Vasos Coronários
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Invasive Cardiol
Ano de publicação:
2012
Tipo de documento:
Article