Journal of Chest Surgery

  • 제40권1호
  • /
  • Pages.74-78
  • /
  • 2007
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

외상에 의해 발생한 체동맥-폐혈관루 - 1예 보고 -

Traumatic Systemic Artery to Pulmonary Vessel Fistula - A case report -

  • 김건우 (가천의과대학교 길병원 흉부외과) ;
  • 김정호 (가천의과대학교 길병원 영상의학과) ;
  • 최수진 (가천의과대학교 길병원 영상의학과) ;
  • 박국양 (가천의과대학교 길병원 흉부외과) ;
  • 박철현 (가천의과대학교 길병원 흉부외과) ;
  • 이재익 (가천의과대학교 길병원 흉부외과)
  • Kim, Keun-Woo (Department of Thoracic and Cardiovascular Surgey, Gachon University Gil Medical Center) ;
  • Kim, Jeong-Ho (Department of Radiology, Gachon University Gil Medial Center) ;
  • Choi, Soo-Jin (Department of Radiology, Gachon University Gil Medial Center) ;
  • Park, Kook-Yang (Department of Thoracic and Cardiovascular Surgey, Gachon University Gil Medical Center) ;
  • Park, Chul-Hyun (Department of Thoracic and Cardiovascular Surgey, Gachon University Gil Medical Center) ;
  • Lee, Jae-Ik (Department of Thoracic and Cardiovascular Surgey, Gachon University Gil Medical Center)
  • 발행 : 2007.01.05
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초록

체동맥-폐혈관루(systemic artery to pulmonary vessel fistula, SAPVF)는 비정상적으로 형성된 체동맥과 폐혈관 사이의 연결이다. 이는 대부분 선천적으로 발생하지만, 드물게는 폐나 흉막의 종양, 염증성 질환 및 외상 등으로 인해 발생할 수 있다. 내원 16년 전 교통사고로 인한 횡경막 파열로 수술한 과거력이 있는 38세 남자 환자가 객혈을 주소로 내원하였고, 흉부 컴퓨터 단층 촬영과 혈관 조영술로 늑간동맥 및 내흉 동맥과 폐혈관이 연결된 SAPVF를 진단하였다. 저자들은 외상에 의한 SAPVF 1예를 경험하였고, 혈관 색전술을 시행하여 좋은 결과를 얻었기에 국내 문헌상으로는 최초로 이를 보고하는 바이다.

Systemic artery to pulmonary vessel fistula (SAPVF) is an abnormal communication between the systemic arterial circulation and the pulmonary circulation. Most SAPVF are congenital, but some SAPVF may also develop as a consequence of trauma, neoplasm, and inflammation of pleura or lung parenchyma. A 38-year-old man was referred to our department for hemoptysis. He underwent an operation for traumatic diaphragm rupture 16 years ago. Chest CT scan and angiography revealed SAPVF between several intercostal arteries and pulmonary vessels. He had an angiographic transcatheter embolization and the SAPVF disappeared at follow-up chest CT. To the best of our knowledge, this is the first case report of traumatic SAPVF in Korea.

키워드

참고문헌

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