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Local pulmonary malformation caused by bilateral coronary artery : and bronchial artery fistulae to the left pulmonary artery in a patient with coronary artery disease
Cijan, Andrej, 1937-2020 ...
At 10 years of age and again at 25, our patient had been treated for pulmonarytuberculosis due to the presence of a localized pulmonary shadow. Coronary angiography at age 59 revealed 3 fistulous ...communications: from the right and circumflex coronary arteries and from the left bronchial artery. All3 emptied into the same recipient artery, the distal part of a left pulmonary artery branch, which produced substantial left-toright shunt. On computed tomography, cystic formations could be seen in the pulmonic area. Thepulmonary tuberculosis for which this patient had been treated in his youthwas in the same part of the lung where the shunt was discovered. Our conclusion is that the initial diagnosis was in error.
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