Local Pulmonary Malformation Caused by Bilateral Coronary Artery and Bronchial Artery Fistulae to the Left Pulmonary Artery in a Patient with Coronary Artery Disease

AUTOR(ES)
RESUMO

At 10 years of age and again at 25, our patient had been treated for pulmonary tuberculosis due to the presence of a localized pulmonary shadow. Coronary angiography at age 59 revealed 3 fistulous communications: from the right and circumflex coronary arteries and from the left bronchial artery. All 3 emptied into the same recipient artery, the distal part of a left pulmonary artery branch, which produced substantial left-to-right shunt. On computed tomography, cystic formations could be seen in the pulmonic area.

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