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Published on: April 1, 2022
A Case of a Thoracic Arteriovenous Fistula Between an Intercostal Artery and a Pulmonary Vein
Ian K Motie1, Bobby Malik1, Jenin Jose1
1Internal Medicine, Sarasota Memorial Hospital, Sarasota, USA.
Abstract:
Arteriovenous (AV) fistulas are irregular connections between arteries and veins, and thoracic AV fistulas are rarely identified in clinical practice. We report a case of a 56-year-old female with a history of esophageal adenocarcinoma treated with radiation and resection who presented to the hospital due to hemoptysis. She underwent bronchoscopy revealing a tracheobronchial fistula, and esophagogastroduodenoscopy revealing active arterial bleed. Subsequent angiography uncovered an AV fistula between her right T8 intercostal artery and pulmonary vein with a pseudoaneurysm. She underwent coiling of her T8 and T9 intercostal arteries with resolution of her symptoms.
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