We report a rare case of multiple coronary bronchial artery fistulas in a 34-year-old young male with cystic fibrosis and bronchiectasis while he was actively being worked up for a lung transplant. He had atypical chest pain with compromised left ventricular ejection fraction on echocardiogram. Patients with longstanding bronchiectasis can have acquired anomalous connections from coronary arter...

Massive hemoptysis is a life threatening respiratory emergency with high mortality and the bronchial artery (BA) is its most frequent source. Herein, we report a case of a 76-year-old man with recurrent hemoptysis due to an aberrant right BA arising from the right internal mammary artery (IMA), an extremely rare origin, that was clearly depicted on pretreatment computed tomography angiography (...

To cite: Sharp C, Jackson J, Hands G. Thorax Published Online First: [please include Day Month Year] doi:10.1136/thoraxjnl-2013203708 A 31-year-old man presented with recurrent chest pain. CT coronary arteriography (figure 1) demonstrated a well-defined area of hypertransradiancy at the left lung base supplied by a large artery arising from the thoracic aorta (figure 2) with no normal bronchial...

In 1959 HUGHES and STOVIN described a syndrome consisting of multiple pulmonary aneurysms and peripheral venous thrombosis. Since that time several cases of the Hughes-Stovin syndrome have been published. We present the case of a 25 yr old man who, in addition to the classical symptoms, had multiple aneurysms of the bronchial arteries, which were the cause of severe haemoptysis. An aneurysm of ...

OBJECTIVE To audit the use of bronchial arteriography and embolisation for controlling haemoptysis. DESIGN Retrospective review of radiological and clinical data. SETTING Brompton and National Heart Hospitals. PATIENTS 35 patients with severe pulmonary disease in whom 58 bronchial arteriograms were obtained between 1 January 1984 and 31 December 1989 with the intention of bronchial artery...

CULTURED SYSTEMS HAVE PROVEN highly useful for generating insight into normal and abnormal cell function, as illustrated by Brown et al. (1–3) in identification of mechanism(s) underlying familial hypercholesterolemia. In studies by Brown and coworkers, the isolation and culture of fibroblasts were made with relative ease, whereas other cell types are not readily accessible. Indeed, the general...

Angiogenesis in the lung involves the systemic bronchial vasculature and becomes prominent when chronic inflammation prevails. Mechanisms for neovascularization following pulmonary ischemia include growth factor transit from ischemic parenchyma to upstream bronchial arteries, inflammatory cell migration/recruitment through the perfusing artery, and paracrine effects of lung cells within the lef...

Massive hemoptysis caused by bronchiectasis in which bronchial artery embolization does not control the bleeding is not rare. Traditional surgical intervention is anatomical lung resection. We present a case of a patient with bronchiectasis and massive hemoptysis in which the bleeding was controlled with transection of a pulmonary vein and bronchus with preservation of the pulmonary artery.

Fig. 1. Multi-slice ECG-gated CT scan (slice thickness, 1.25 mm). (A) Contrast enhanced axial image, the right pulmonary artery was completely occluded by a mass (arrowhead). Endovascular component and extension into the surrounding pulmonary parenchyma were well shown. (B) 3D volume-rendered reconstruction (oblique view) shows the extension (arrowheads) and bronchial artery hypertrophy (arrows...

Twenty-five cases of massive pulmonary hemorrhage were evaluated by arteriography. Either pulmonary or selective bronchial arteriography or both were performed to confirm or corroborate the clinical diagnosis. In 16 patients, gelfoam embolization of the bronchial artery was effective in causing immediate cessation of the hemorrhage. Only two of the 16 patients had recurrent pulmonary hemorrhage...