skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Coronary-to-Bronchial Artery Communication: Report of Two Patients Successfully Treated by Embolization

Abstract

We report two cases of coronary-to-bronchial artery communication responsible for coronary steal. In both cases the anastomosis originated from the proximal circumflex artery and developed because of bronchiectasis. In both cases closure of the anastomosis was achieved successfully by embolization. To date, the patients remained free from symptoms.

Authors:
 [1];  [2];  [3]; ;  [1];  [4]; ;  [1];  [4]
  1. Department of Cardiology, University of Amiens, Rene Laennec Avenue, F-80054 Amiens (France)
  2. Department of Cardiology, Coutances Hospital, Rue de la Gare, F-50200 Coutances (France)
  3. Department of Cardiology, Centre Hospitalier Prive St. Martin, 18 rue des Roqueronts, F-14050 Caen (France)
  4. Department of Radiology, University of Amiens, Rene Laennec Avenue, F-80054 Amiens (France)
Publication Date:
OSTI Identifier:
21080310
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 22; Journal Issue: 3; Other Information: DOI: 10.1007/s002709900377; Copyright (c) 1999 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; COMMUNICATIONS; CORONARIES; PATIENTS; SYMPTOMS; VASCULAR DISEASES

Citation Formats

Jarry, Genevieve, Bruaire, Jean-Pierre, Commeau, Philippe, Hermida, Jean-Sylvain, Leborgne, Laurent, Auquier, Marie-Anne, Delonca, Jean, Quiret, Jean-Claude, and Remond, Alexandre. Coronary-to-Bronchial Artery Communication: Report of Two Patients Successfully Treated by Embolization. United States: N. p., 1999. Web. doi:10.1007/S002709900377.
Jarry, Genevieve, Bruaire, Jean-Pierre, Commeau, Philippe, Hermida, Jean-Sylvain, Leborgne, Laurent, Auquier, Marie-Anne, Delonca, Jean, Quiret, Jean-Claude, & Remond, Alexandre. Coronary-to-Bronchial Artery Communication: Report of Two Patients Successfully Treated by Embolization. United States. doi:10.1007/S002709900377.
Jarry, Genevieve, Bruaire, Jean-Pierre, Commeau, Philippe, Hermida, Jean-Sylvain, Leborgne, Laurent, Auquier, Marie-Anne, Delonca, Jean, Quiret, Jean-Claude, and Remond, Alexandre. 1999. "Coronary-to-Bronchial Artery Communication: Report of Two Patients Successfully Treated by Embolization". United States. doi:10.1007/S002709900377.
@article{osti_21080310,
title = {Coronary-to-Bronchial Artery Communication: Report of Two Patients Successfully Treated by Embolization},
author = {Jarry, Genevieve and Bruaire, Jean-Pierre and Commeau, Philippe and Hermida, Jean-Sylvain and Leborgne, Laurent and Auquier, Marie-Anne and Delonca, Jean and Quiret, Jean-Claude and Remond, Alexandre},
abstractNote = {We report two cases of coronary-to-bronchial artery communication responsible for coronary steal. In both cases the anastomosis originated from the proximal circumflex artery and developed because of bronchiectasis. In both cases closure of the anastomosis was achieved successfully by embolization. To date, the patients remained free from symptoms.},
doi = {10.1007/S002709900377},
journal = {Cardiovascular and Interventional Radiology},
number = 3,
volume = 22,
place = {United States},
year = 1999,
month = 5
}
  • The objective of this paper is to present an alternative therapeutic approach for the treatment of patients with massive hemoptysis in whom bronchial and/or nonbronchial systemic arterial embolization is not possible. We describe a percutaneous procedure for pulmonary segmental artery embolization. Between May 2000 and July 2006, 27 adult patients with hemoptysis underwent percutaneous treatment at our department; 20 of 27 patients were embolized via bronchial and or nonbronchial systemic arteries and 7 patients were embolized via pulmonary artery. Femoral arterial access for systemic artery catheterization and femoral vein access for pulmonary arterial catheterization were used. Gelfoam particles and coilsmore » were used for embolization. In this study, we report on three cases of massive hemoptysis from a systemic arterial source in whom bronchial and/or nonbronchial arteries embolization was not possible. Percutaneous embolization via the pulmonary artery access was successful in all three patients. In conclusion, embolization via pulmonary artery is presented as an alternative approach for the management of hemoptysis in patients in whom bronchial arterial embolization is not possible.« less
  • It has been reported that anastomoses between the bronchial and the coronary arteries can become dilated and functional in certain diseases, provoking angina pectoris through coronary steal syndrome. The condition can be treated with endovascular or surgical management. It is possible that this abnormality may be associated with hemoptysis in patients with parenchymal or vascular disease of the lung but this condition is very rare. We present the coronary CT angiographic findings of bronchial arteries arising from the left coronary artery and their treatment with transcatheter embolization for the control of massive hemoptysis.
  • Purpose. To assess the safety and effectiveness of arterial embolization in lung cancer patients with hemoptysis. Methods. Nineteen primary lung cancer patients with hemoptysis underwent bronchial artery and systemic artery embolization from April 2002 to March 2005. There were 17 men and 2 women, with a mean age of 59 years. Histologic analysis revealed squamous cell carcinoma in 10 patients and poorly differentiated adenocarcinoma in 9 patients. The amount of hemoptysis was bleeding of 25-50 ml within 24 hr in 8 patients, recurrent blood-tinged sputum in 6, and bleeding of 100 ml or more per 24 hr in 5. Embolizationmore » was done with a superselective technique using a microcatheter and polyvinyl alcohol particles to occlude the affected vessels. Results. Arterial embolization was technically successful in all patients and clinically successful in 15 patients (79%). The average number of arteries embolized was 1.2. Bronchial arteriography revealed staining (all patients), dilatation of the artery or hypervascularity (10 patients), and bronchopulmonary shunt (6 patients). The recurrence rate was 33% (5/15) and 11 patients were alive with a mean follow-up time of 148 days (30-349 days). Conclusion. Arterial embolotherapy for hemoptysis in patients with primary lung cancer is an effective, safe therapeutic modality despite the fact the vascular changes are subtle on angiography.« less
  • A 54-year-old male presented with intermittent massive hemorrhage from recurrent oropharyngeal cancer. The angiogram showed the encasements at the main trunk of the left internal carotid artery (ICA) and external carotid artery (ECA). Transcatheter arterial embolization (TAE) of the ECA with gelatin sponge particles and microcoils was performed. However, hemorrhage recurred several hours after the initial TAE. The second angiogram showed a large pseudoaneurysm of the ICA developing at the encasement on the initial angiogram. As a simple neurologic test, regional cerebral oxygenation (rSO{sub 2}) was assessed with and without manual compression of the common carotid artery (CCA). With compressionmore » of the left CCA, the rSO{sub 2} did not change. We therefore performed isolation of the pseudoaneurysm. We embolized proximally and distally to the ICA pseudoaneurysm with microcoils and the pseudoaneurysm disappeared. No major complications occurred and no massive hemorrhage recurred until death from the cancer. TAE was an effective treatment for massive hemorrhage caused by tumor invasion to ICA. Assessment of rSO{sub 2} was a simple and useful neurologic test predicting the cerebral blood flow to prevent complications of TAE.« less
  • PurposeOur experience with endovascular embolization (EVE) of the bronchial artery (BA) originating from the upper portion of the aortic arch (AA) in six patients is described.MethodsAltogether, 818 patients with hemoptysis underwent multidetector row computed tomography angiography (MDCTA) before EVE or AA angiography during EVE. Aberrant BAs originating from the upper portion of the AA were the source of massive hemoptysis in six patients (0.73 %). MDCT angiograms and/or Digital subtraction angiograms were retrospectively reviewed. Selective catheterization and embolization were performed.ResultsThe ostia of the BAs were located on the superior surface of the AA between the brachiocephalic trunk and left common carotidmore » artery in three patients, the junction of the aorta and medial surface of the left subclavian artery in two, and the posterior wall of the upper portion of the AA in one. The six BAs comprised two common trunks, three single right sides, and one single left side. The targeted vessels were successfully catheterized and embolized by a coaxial microcatheter system using polyvinyl alcohol particles. Other pathologic BAs and nonbronchial systemic arteries also were embolized. Bleeding was immediately controlled in all patients with no recurrence of hemoptysis. No procedure-related complications occurred.ConclusionsApplication of EVE of anomalous origin of BAs in patients with hemoptysis is important, as demonstrated in the six reported patients. MDCTA before EVE or AA angiography during EVE is critical to avoid missing a rare aberrant BA originating from the upper portion of the AA.« less