ArticleBJR case reports2025
Bronchial systemic-artery-to-pulmonary-artery-fistula as mimicker of pulmonary embolism: computed tomography findings verified with bronchial artery angiography.
Article in BJR case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We present the case of an 81-year-old patient, who was transferred to our department for diagnostic work-up and treatment of hemoptysis of the right lung. Two-phase contrast-enhanced chest CT revealed filling defects in right upper lobe and middle lobe pulmonary artery during the pulmonary-artery phase who vanished in the subsequent aortographic phase, consistent with systemic-artery-to-pulmonary-artery fistulas (SA-PAFs) of right bronchial artery mimicking pulmonary embolism. Selective bronchial catheter-arteriography confirmed bronchial SA-PAFs and bronchial artery embolization was performed effectively and without complication. For the best of our knowledge, this is the first case of a bronchial systemic-artery-to-pulmonary-artery-fistula mimicking PE directly correlated and proved with bronchial artery angiography.
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