Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Bronchial Varices in a Patient with Severe Mitral Stenosis

중증 승모판 협착증에 동반된 기관지 정맥류

  • Moon, Sun You (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Sun Young (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Cheon, Won Seok (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Eom, Kwang-Seok (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Jang, Seung Hun (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Bahn, Joon-Woo (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Dong Gyu (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Jung, Ki-Suck (Department of Internal Medicine, Hallym University College of Medicine)
  • 문선유 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 김선영 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 천원석 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 엄광석 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 장승훈 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 반준우 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 김동규 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터) ;
  • 정기석 (한림대학교 의과대학 내과학교실, 한림대학교성심병원 호흡기-알레르기센터)
  • Received : 2004.12.20
  • Accepted : 2005.01.12
  • Published : 2005.02.28
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Abstract

The bronchial varices in mitral stenosis are uncommon and incidentally discovered during bronchoscopy. Although bronchial varices are primarily associated with bronchial or pulmonary disease, the bronchial vein can be dilated with increased pulmonary venous pressure secondary to mitral stenosis. The bronchial varices may present massive hemoptysis. The hemoptysis can be controlled by mitral commissurotomy or mitral valve replacement in case of mitral stenosis. We report a case of bronchial varies in a patient with severe mitral stenosis. The bronchial varices were found incidentally during bronchoscopy and they were nearly disappeared by mitral valve replacement.

기관지 정맥류는 기관지 정맥압이 상승하는 승모판 협착증이나 폐정맥 폐쇄증에서 이차적으로 발생할 수 있다. 기관지 정맥류는 주로 좌측 주기관지에서 관찰되며, 드물지만 기관지 정맥류의 파열로 대량 객혈이 가능하고 사망할 수도 있다. 저자들은 중증 승모판 협착증 환자에서 동반된 기관지 정맥류를 기관지내시경에서 우연히 관찰하였고 승모판치환술 후 기관지 정맥류가 호전되어 이를 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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