Coronary artery-bronchial artery fistulas: report of two Dutch cases with a review of the literature

S. A. M. Said*, R. M. Oortman, J. -H. Hofstra, P. M. J. Verhorst, R. H. J. A. Slart, M. W. de Haan, F. Eerens, H. J. G. M. Crijns

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Coronary bronchial artery fistulas (CBFs) are rare anomalies, which may be isolated or associated with other disorders. Two adult patients with CBFs are described and a PubMed search was performed using the keywords "coronary bronchial artery fistulas" in the period from 2008 to 2013. Twenty-seven reviewed subjects resulting in a total of 31 fistulas were collected. Asymptomatic presentation was reported in 5 subjects (19 %), chest pain (n = 17) was frequently present followed by haemoptysis (n = 7) and dyspnoea (n = 5). Concomitant disorders were bronchiectasis (44 %), diabetes (33 %) and hypertension (28 %). Multimodality and single-modality diagnostic strategies were applied in 56 % and 44 %, respectively. The origin of the CBFs was the left circumflex artery in 61 %, the right coronary artery in 36 % and the left anterior descending artery in 3 %. Management was conservative (22 %), surgical ligation (11 %), percutaneous transcatheter embolisation (30 %), awaiting lung transplantation (7 %) or not reported (30 %). CBFs may remain clinically silent, or present with chest pain or haemoptysis. CBFs are commonly associated with bronchiectasis and usually require a multimodality approach to be diagnosed. Several treatment strategies are available. This report presents two adult cases with CBFs and a review of the literature.
Original languageEnglish
Pages (from-to)139-147
JournalNetherlands Heart Journal
Issue number4
Publication statusPublished - Apr 2014


  • Congenital anomaly
  • Coronary bronchial artery fistulas
  • Multi-detector computer tomography
  • Positron emission tomography/(13)-ammonia-adenosine scanning
  • Management

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