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Right inferior phrenic artery to right pulmonary artery fistula causing hemothorax: A case report
Anthony D'Angelo1, Hasan Khan2, Garrett Coleman1
1John Sealy School of Medicine, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA.
Abstract:
Inferior phrenic artery to pulmonary artery fistulae are a rare anomaly seen on CT thorax angiogram when evaluating for certain pulmonary pathological conditions. A 79-year-old man with hemothorax on chest X-ray was evaluated by interventional radiology for embolization of a bleeding vessel. During the procedure, a fistulous connection between the right inferior phrenic artery and right pulmonary artery with signs of extravasation was found and embolized, significantly reducing the size of the hemothorax. This case demonstrates that inferior phrenic artery to pulmonary artery fistulae, a rarely seen vascular anomaly, can result in life-threatening hemothorax.
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