Choi Hang Jun, Kim Hwan Wook, Kim Do Yeon, Choi Kuk Bin, Jo Keon Hyon
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea.
Korean J Thorac Cardiovasc Surg. 2017 Jun;50(3):220-223. doi: 10.5090/kjtcs.2017.50.3.220. Epub 2017 Jun 5.
A 71-year-old male with known bronchiectasis and atrial fibrillation was admitted to Seoul St. Mary's Hospital with recurrent transient ischemic attack. Radiofrequency ablation was performed to resolve the patient's atrial fibrillation, but failed. However, a fistula between the left circumflex artery and the bilateral bronchial arteries was found on computed tomography. Fistula ligation and a left-side maze operation were planned due to his recurrent symptom of dizziness, and these procedures were successfully performed. After the operation, the fistula was completely divided and no recurrence of atrial fibrillation took place. A coronary-bronchial artery fistula is a rare anomaly, and can be safely treated by surgical repair.
一名71岁男性，已知患有支气管扩张症和心房颤动，因复发性短暂性脑缺血发作入住首尔圣母医院。为解决患者的心房颤动问题进行了射频消融，但失败了。然而，计算机断层扫描发现左旋支动脉与双侧支气管动脉之间存在瘘管。由于患者反复出现头晕症状，计划进行瘘管结扎和左侧迷宫手术，且这些手术均成功实施。术后，瘘管被完全分离，心房颤动未再复发。冠状动脉-支气管动脉瘘是一种罕见的异常情况，可通过手术修复安全治疗。
