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Article in Japanese
Abstract
Case Report
Bronchial artery-pulmonary artery fistula without significant CT findings: A case report
Yoshiko Yoshidaa Iwao Shimomuraa Yoshinori Iiokaa Hajime Fujimotob Kazuki Hashimotoc Yasuhide Yoshidaa
aDepartment of Respiratory Medicine, Numazu City Hospital
bDepartment of Radiology, Numazu City Hospital
cSt. Marianna University School of Medicine, Yokohama City Seibu Hospital
ABSTRACT
A 70-year-old man visited our hospital with a massive hemoptysis. Chest radiograph showed normal findings, and enhanced chest CT showed only slight ground-glass opacity in the right lower lobe. Although bloody sputum was observed in the right and left bronchi on a bronchoscopy, a definitive diagnosis was not obtained. After that, the patient repeated massive hemoptysis. On bronchial arteriography, the right bronchial artery had a direct anastomosis to the pulmonary artery. The patient was diagnosed as bronchial artery-pulmonary artery fistula. Bronchial arteriography should be considered even without CT findings of hemoptysis.
KEYWORDS
Hemoptysis Shunt Bronchial artery-pulmonary artery fistula Bronchial arterial embolization Bronchial arteriography
Received 15 Oct 2013 ／ Accepted 12 Mar 2014
AJRS, 3(4): 558-562, 2014
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