Tuberculosis and Respiratory Diseases

  • 제56권1호
  • /
  • Pages.97-102
  • /
  • 2004
  • /
  • 1738-3536(pISSN)
  • /
  • 2005-6184(eISSN)
대한결핵및호흡기학회 (The Korean Academy of Tuberculosis and Respiratory Diseases)
권호 표지

좌하엽으로의 비정상적인 체순환 1예

A Case of Anomalous Systemic Arterial Supply to Normal Basal Segments of Left Lower Lobe

  • 김재덕 (단국대학교 의과대학 내과학교실) ;
  • 김윤섭 (단국대학교 의과대학 내과학교실) ;
  • 임홍목 (청주성모병원 내과) ;
  • 이상록 (청주성모병원 내과) ;
  • 이계영 (단국대학교 의과대학 내과학교실)
  • Kim, Jae Deok (Department of Internal Medicine, College of Medicine, Dankook University) ;
  • Kim, Youn Seup (Department of Internal Medicine, College of Medicine, Dankook University) ;
  • Lim, Hong Mok (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Lee, Sang Rok (Department of Internal Medicine, Cheongju St. Mary's Hospital) ;
  • Lee, Kye Young (Department of Internal Medicine, College of Medicine, Dankook University)
  • 발행 : 2004.01.30
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초록

저자들은 객혈을 주소로 내원한 환자에서 조영증강 전산화 단층촬영과 혈관 조영술을 통해서 좌하엽으로의 비정상적인 체순환을 진단하였으며 좌하엽 폐절제술로 치료를 성공적으로 시행한 경험이 있기에 이를 보고하는 바이다.

Anomalous systemic arterial supply to the lung is a rare congenital anomaly. The lung supplied by the anomalus systemic artery has a normal bronchial tree, which is usually in the basal segment of the lung, especially in the left lung. Most of patients are asymptomatic, but the main clinical symptoms of this disease are hemoptysis and exertional dyspnea. CT is useful for the diagnosis and showed a retrocardiac nodular shadow connected to the descending aorta branching into the basal segments of the relatively normal lower lobe. Surgery is indicated for all patients. Here we report a case of anomalous systemic arterial supply to normal basal segments of left lower lobe in a patient with hemoptysis with a review of the relevant literature.

키워드

참고문헌

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