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Pulmonary Vascular Disease: Student/Resident Case Report Poster - Pulmonary Vascular Disease I |

Intercostal Artery - Pulmonary Artery Arterio-Arteriolar Fistula: A Case Report

Aysu Koc, MD; Nesrin Mogulkoc, MD; Naim Ceylan, MD; Hakan Kultursay, MD
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Ege University School of Medicine, Department of Chest Diseases, Izmir, Turkey


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1205A. doi:10.1016/j.chest.2016.08.1314
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SESSION TITLE: Student/Resident Case Report Poster - Pulmonary Vascular Disease I

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Anomalies in the pulmonary vascular system are rare; in particular, pulmonary arteries are rarely involved.

CASE PRESENTATION: A twenty-eight years old male patient with no previously known disease presented with a right upper peripheral lesion on chest-X-ray during routine occupational check-up. Physical examination and all peripheral blood laboratory tests were normal. None of the laboratory tests pointed to an infective process. To show anatomical details of the lesion, computed tomography angiography (CTA) was performed; fistulae between intercostal arteries and pulmonary arteriolar branches of the right upper lobe posterior segment and right lower lobe superior segment were seen. The first six intercostal arteries were hypertrophied with notching of the related ribs. The pulmonary artery diameter was 31 mm. Pulmonary hypertension related heart catheterization and coronary angiography were performed to confirm our diagnosis. Many fistulae in between the aorta and pulmonary arteries via intercostal arteries were visualized. Pulmonary pressures were normal. Coronary arteries were normal.

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