Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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코일 색전술로 치료한 15세 소아의 폐 격리 1례

A Case of Coil Embolization in a 15-year-old Child with Pulmonary Sequestration

  • 김효빈 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 김자형 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 이종승 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 홍수종 (울산대학교 의과대학 서울아산병원 소아과) ;
  • 성규보 (울산대학교 의과대학 서울아산병원 방사선과)
  • Kim, Hyo Bin (Department of Pediatrics, College of Medicine, Ulsan University, Asan Medical Center) ;
  • Kim, Ja Hyung (Department of Pediatrics, College of Medicine, Ulsan University, Asan Medical Center) ;
  • Lee, Jong Seung (Department of Pediatrics, College of Medicine, Ulsan University, Asan Medical Center) ;
  • Hong, Soo-Jong (Department of Pediatrics, College of Medicine, Ulsan University, Asan Medical Center) ;
  • Sung, Gyou Bo (Department of Radiology, College of Medicine, Ulsan University, Asan Medical Center)
  • 투고 : 2002.10.08
  • 심사 : 2002.11.15
  • 발행 : 2003.04.15
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초록

저자들은 자주 고열을 동반한 감기 증상을 보였던 15세 남아에서 우연히 발견된 내대엽성 폐 격리를 흉부 단층촬영과 동맥 조영술을 시행하여 흉부 대동맥 아래쪽에서 혈액 공급을 받고 좌하폐정맥으로 배액되는 내대엽성 폐 격리를 확진한 후, 코일과 젤폼을 이용해 동맥 색전술을 시행하여 그 크기가 감소하는 경우를 경험하였기에 보고하는 바이다.

Pulmonary sequestration is a rare congenital mass of nonfunctional pulmonary tissue that lacks a normal-connection with the bronchial tree or the pulmonary arteries. It is clinically asymptomatic but when it is complicated with recurrent infection, it needs to be treated. Conventionally, surgical removal was recommended, but these days we are trying new and less invasive techniques, such as arterial embolization. There were several reports about successful cases of pulmonary sequestration treated by embolization, but mostly all of them were done to newborns or infants. We report a case of a 15-year-old boy with an asymptomatic pulmonary sequestration on whom was performed coil embolization, and in the follow-up computed tomography(CT), the size of the lesion was decreased. He did not suffer severe respiratory symptoms.

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