I. Misumi et al., BILATERAL FISTULAS FROM THE INTERNAL MAMMARY ARTERIES AND THE BRONCHIAL ARTERIES TO THE PULMONARY-ARTERIES - A CASE-REPORT, Angiology, 49(9), 1998, pp. 771-775
A 78-year-old man was admitted to hospital with heart failure and chro
nic bronchitis. A computed tomographic scan of the chest incidentally
demonstrated bilateral abnormal vessels near the left atrium. Selectiv
e angiography showed that both internal mammary arteries and bronchial
arteries communicated with the pulmonary arteries bilaterally. The pa
tient refused surgery and was discharged on medical therapy. This is t
he first reported case of bilateral fistulas between the internal mamm
ary arteries and bronchial arteries and the pulmonary arteries.