CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2011; 21(01): 10-12
DOI: 10.4103/0971-3026.76045
Interventional

Case report: Complex internal mammary to pulmonary artery fistula as a cause of hemoptysis in tuberculosis: Diagnosis and endovascular management using ethylene vinyl alcohol copolymer (Onyx)

Gregory Pierce
Department of Vascular and Interventional Radiology, Cleveland Clinic, USA
,
Chaitanya Ahuja
Department of Vascular and Interventional Radiology, Cleveland Clinic, USA
,
Meghna Chadha
Department of Vascular and Interventional Radiology, Cleveland Clinic, USA
› Author Affiliations

Abstract

A complex right internal mammary to right pulmonary artery fistula resulting in hemoptysis was successfully treated by embolization with a liquid, nonadhesive, embolic agent - ethylene vinyl alcohol copolymer (Onyx). There were no procedural complications and no recurrence of symptoms has been seen after 2 years of follow-up.



Publication History

Article published online:
31 July 2021

© 2011. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics 2002;22:1395-409.
  • 2 Keller FS, Rosch J, Loflin TG, Nath PH, McElvein RB. Nonbronchial systemic collateral arteries: significance in percutaneous embolotherapy for hemoptysis. Radiology 1987;164:687-92.
  • 3 Chun HJ, Byun JY, Yoo SS, Choi BG. Added benefit of thoracic aortography after transarterial embolization in patients with hemoptysis. AJR Am J Roentgenol 2003;180:1577-81.
  • 4 Peter AA, Ferreira AC, Zelnick K, Sangosanya A, Chirinos J, de Marchena E. Internal mammary artery to pulmonary vasculature fistula--case series. Int J Cardiol 2006;108:135-8.
  • 5 Abbott JD, Brennan JJ, Remetz MS. Treatment of a left internal mammary artery to pulmonary artery fistula with polytetrafluoroethylene covered stents. Cardiovasc Intervent Radiol 2004;27:74-6.
  • 6 Hearne SF, Burbank MK. Internal mammary artery-to-pulmonary artery fistulas. Case report and review of the literature. Circulation 1980;62:1131-5.
  • 7 Gypen BJ, Poniewierski J, Rouhanimanesh Y, Dieudonnι T, Van Mulders AP, d′Archambeau OC, et al. Severe hemoptysis 6 years after coronary artery bypass grafting. Ann Thorac Surg 2003;75:999-1001.
  • 8 Weber W, Kis B, Siekmann R, Kuehne D. Endovascular treatment of intracranial arteriovenous malformations with onyx: technical aspects. AJNR Am J Neuroradiol 2007;28:371-7.