Misumi I, Ueno K, Kimura Y, Hokamura Y, Yamabe H, Yasunaga T, Oguni T, Asao C
Department of Cardiology, Kumamoto City Hospital, Kumamoto, Japan.
Angiology. 1998 Sep;49(9):771-5. doi: 10.1177/000331979804901010.
A 78-year-old man was admitted to hospital with heart failure and chronic bronchitis. A computed tomographic scan of the chest incidentally demonstrated bilateral abnormal vessels near the left atrium. Selective angiography showed that both internal mammary arteries and bronchial arteries communicated with the pulmonary arteries bilaterally. The patient refused surgery and was discharged on medical therapy. This is the first reported case of bilateral fistulas between the internal mammary arteries and bronchial arteries and the pulmonary arteries.
一名78岁男性因心力衰竭和慢性支气管炎入院。胸部计算机断层扫描偶然发现左心房附近双侧血管异常。选择性血管造影显示双侧胸廓内动脉和支气管动脉均与肺动脉相通。患者拒绝手术，出院后接受药物治疗。这是首例报道的胸廓内动脉、支气管动脉与肺动脉之间双侧瘘的病例。
