A Case of Aortobronchial Fistula with Massive Hemoptysis after Aortic Stent Graft

대량객혈로 내원한 대동맥기관지루 1예

  • Hwang, Sang Yon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chung, Jae Ho (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Moo Suk (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Hong Jeong (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Hahn, Chang Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Moon, Jin Wook (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Se Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Sung Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Won, Jong Yoon (Diagnostic Radiology, Yonsei University College of Medicine) ;
  • Kim, Young Sam (Department of Internal Medicine, Yonsei University College of Medicine)
  • 황상연 (연세대학교 의과대학 내과학교실) ;
  • 정재호 (연세대학교 의과대학 내과학교실) ;
  • 박무석 (연세대학교 의과대학 내과학교실) ;
  • 김홍정 (연세대학교 의과대학 내과학교실) ;
  • 한창훈 (연세대학교 의과대학 내과학교실) ;
  • 문진욱 (연세대학교 의과대학 내과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 김성규 (연세대학교 의과대학 내과학교실) ;
  • 원종윤 (연세대학교 의과대학 진단방사선과학교실) ;
  • 김영삼 (연세대학교 의과대학 내과학교실)
  • Published : 2004.04.30

Abstract

Aortobronchial fistula may cause a massive fatal hemoptysis. Recently prosthetic aortic graft insertion or endovascular stent graft is a cause of aortobronchial fistula. We report a rare case of hemoptysis from a fistula between an aortic arch aneurysm and the left main bronchus in a patient who had undergone an endovascular stent graft in pseudoaneurysm of descending thoracic aorta one year before.

저자들은 1년전 하행흉부대동맥 가성동맥류로 진단 받고 혈관내 스텐트 삽입술을 시행 받은 53세 남자 환자가 내원 1달여 전부터 간헐적인 혈담을 호소하다가 대량 객혈을 주소로 내원하여 대동맥류와 좌측 주기관지와의 누공을 확인한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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