Annals of The Japanese Respiratory Society:A case of left subclavian artery-to-pulmonary artery and vein fistulae shown as multiple nodules in the left lung

Abstract

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Article in Japanese

Diagnostic Imaging

A case of left subclavian artery-to-pulmonary artery and vein fistulae shown as multiple nodules in the left lung

Miyoko Tatsuta^a Naoki Hamada^a Kentaro Tamura^a Tatsuro Okamoto^b Koichi Takayama^a Yoichi Nakanishi^a

^aResearch Institute for Diseases of the Chest, Graduate School of Medical Sciences, Kyushu University
^bDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University

ABSTRACT

A 36-year-old man was admitted for further examination of abnormal chest X-ray. A plain computed tomography (CT) showed multiple nodules in the lingular division of the left lung. After a year, contrast-enhanced CT was performed for the persisting pulmonary nodules, and it revealed abnormal arteries branching from the left subclavian artery. An aortic arteriography confirmed that two anomalous vessels branching from the subclavian artery formed shunts with the pulmonary artery and vein. The nodules were diagnosed as subclavian artery-to-pulmonary artery and vein fistulae and were resected surgically.

KEYWORDS

Systemic arterio-pulmonary arterial fistula Systemic arterio-pulmonary venous fistula

Received 25 Mar 2015 ／ Accepted 12 May 2015

AJRS, 4(5): 417-421, 2015

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Abstract

Diagnostic Imaging

ABSTRACT

KEYWORDS