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

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-...

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Main Authors: Lwandile Majozini, Winile Nkosi
Format: Article
Language:English
Published: AOSIS 2025-06-01
Series:South African Journal of Radiology
Subjects:
Online Access:https://sajr.org.za/index.php/sajr/article/view/3139
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author Lwandile Majozini
Winile Nkosi
author_facet Lwandile Majozini
Winile Nkosi
author_sort Lwandile Majozini
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 1027-202X
2078-6778
language English
publishDate 2025-06-01
publisher AOSIS
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series South African Journal of Radiology
spelling doaj-art-379a1a398eb74bbababef29c7840deed2025-08-20T03:29:14ZengAOSISSouth African Journal of Radiology1027-202X2078-67782025-06-01291e1e410.4102/sajr.v29i1.31391288A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysisLwandile Majozini0Winile Nkosi1Department of Radiology, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, JohannesburgDepartment of Radiology, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, JohannesburgIntercostal 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.https://sajr.org.za/index.php/sajr/article/view/3139intercostal artery-to-pulmonary artery fistulasa-pafspost pulmonary tb bronchiectasishaemoptysisdigital subtraction angiographyembolisation
spellingShingle Lwandile Majozini
Winile Nkosi
A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
South African Journal of Radiology
intercostal artery-to-pulmonary artery fistula
sa-pafs
post pulmonary tb bronchiectasis
haemoptysis
digital subtraction angiography
embolisation
title A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
title_full A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
title_fullStr A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
title_full_unstemmed A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
title_short A rare case of intercostal-to-pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
title_sort rare case of intercostal to pulmonary artery fistula and its endovascular treatment in the setting of post pulmonary tuberculosis bronchiectasis and haemoptysis
topic intercostal artery-to-pulmonary artery fistula
sa-pafs
post pulmonary tb bronchiectasis
haemoptysis
digital subtraction angiography
embolisation
url https://sajr.org.za/index.php/sajr/article/view/3139
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