Myocardial Infarction as a Complication of Bronchial Artery Embolization
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- 作者：Hugo Labbé ; Simon Bordeleau…
- 关键词：Hemoptysis ; Bronchial artery ; Embolization ; Myocardial infarction ; Arterial fistula
- 刊名：CardioVascular and Interventional Radiology
- 出版年：2017
- 出版时间：March 2017
- 年：2017
- 卷：40
- 期：3
- 页码：460-464
- 全文大小：
- 刊物类别：Medicine
- 刊物主题：Imaging / Radiology; Cardiology; Nuclear Medicine; Ultrasound;
- 出版者：Springer US
- ISSN：1432-086X
- 卷排序：40
文摘
Bronchial artery embolization is now a common treatment for massive pulmonary hemoptysis if flexible bronchoscopy at the bedside failed to control the bleeding. Complications of this technique range from benign chest pain to devastating neurological impairments. We report the case of a 41-year-old man who developed an ST elevation myocardial infarction during bronchial artery embolization, presumably because of coronary embolism by injected particles. In this patient who had no previously known coronary artery disease, we retrospectively found a communication between the left bronchial artery and the circumflex coronary artery. This fistula was not visible on the initial angiographic view and likely opened because of the hemodynamic changes resulting from the embolization. This case advocates for careful search for bronchial-to-coronary arterial fistulas and the need for repeated angiographic views during embolization procedures.