Case Report A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis

Lwandile Majozini, Winile Nkosi

About the author(s) Lwandile Majozini, Department of Radiology, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
Winile Nkosi, Department of Radiology, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa

Abstract

Intercostal artery-to-pulmonary artery fistula is an extremely rare variant of systemic artery-to-pulmonary artery fistulas (SA-PAFs). A case of a 38-year-old man presenting with clinically significant haemoptysis secondary to an intercostal artery-to-pulmonary artery fistula in the setting of post-pulmonary tuberculosis (TB) bronchiectasis is described. The fistulae were successfully treated with endovascular coils.

Contribution: This case report illustrates an intercostal artery-to-pulmonary artery fistula associated with post-primary tuberculosis bronchiectasis, highlighting its multimodal radiological features and successful endovascular treatment.

Keywords

intercostal artery-to-pulmonary artery fistula; SA-PAFs; post pulmonary TB bronchiectasis; haemoptysis; digital subtraction angiography; embolisation

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