Department of Cardiology, Hospital Group Twente, Geerdinksweg 141, 7555 DL, Hengelo, the Netherlands,
Neth Heart J. 2014 Apr;22(4):139-47. doi: 10.1007/s12471-014-0518-z.
Coronary bronchial artery fistulas (CBFs) are rare anomalies, which may be isolated or associated with other disorders.
Two adult patients with CBFs are described and a PubMed search was performed using the keywords "coronary bronchial artery fistulas" in the period from 2008 to 2013.
Twenty-seven reviewed subjects resulting in a total of 31 fistulas were collected. Asymptomatic presentation was reported in 5 subjects (19 %), chest pain (n = 17) was frequently present followed by haemoptysis (n = 7) and dyspnoea (n = 5). Concomitant disorders were bronchiectasis (44 %), diabetes (33 %) and hypertension (28 %). Multimodality and single-modality diagnostic strategies were applied in 56 % and 44 %, respectively. The origin of the CBFs was the left circumflex artery in 61 %, the right coronary artery in 36 % and the left anterior descending artery in 3 %. Management was conservative (22 %), surgical ligation (11 %), percutaneous transcatheter embolisation (30 %), awaiting lung transplantation (7 %) or not reported (30 %).
CBFs may remain clinically silent, or present with chest pain or haemoptysis. CBFs are commonly associated with bronchiectasis and usually require a multimodality approach to be diagnosed. Several treatment strategies are available. This report presents two adult cases with CBFs and a review of the literature.
冠状支气管动脉瘘（CBF）是罕见的异常，可能是孤立的，也可能与其他疾病有关。
描述了 2 例 CBF 成人患者，并在 2008 年至 2013 年期间使用“冠状支气管动脉瘘”关键词在 PubMed 上进行了检索。
共收集了 27 篇文献中的 31 例瘘管，5 例（19%）表现为无症状，胸痛（n=17）最常见，其次为咯血（n=7）和呼吸困难（n=5）。并存疾病有支气管扩张症（44%）、糖尿病（33%）和高血压（28%）。多模态和单模态诊断策略分别应用于 56%和 44%的患者。CBF 的起源为左回旋支 61%，右冠状动脉 36%，左前降支 3%。治疗方法为保守治疗（22%）、外科结扎（11%）、经皮经导管栓塞（30%）、等待肺移植（7%）或未报告（30%）。
CBF 可能保持临床无症状，或出现胸痛或咯血。CBF 通常与支气管扩张症有关，通常需要多模态方法来诊断。有多种治疗策略可供选择。本报告介绍了 2 例成人 CBF 病例和文献复习。
