폐문부 종괴로 관찰된 기관지 동맥류 1예

A Case of Bronchial Artery Aneurysm Demonstrating Hilar Mass

  • 홍성아 (순천향대학교 의과대학 내과학교실) ;
  • 하태훈 (순천향대학교 의과대학 내과학교실) ;
  • 류지원 (순천향대학교 의과대학 내과학교실) ;
  • 김양기 (순천향대학교 의과대학 내과학교실) ;
  • 이영목 (순천향대학교 의과대학 내과학교실) ;
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실) ;
  • 노형준 (순천향대학교 의과대학 진단방사선과교실) ;
  • 김용재 (순천향대학교 의과대학 진단방사선과교실) ;
  • 구동억 (순천향대학교 의과대학 진단방사선과교실)
  • Hong, Seong-Ah (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Ha, Tae-Hoon (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Lyu, Ji-Won (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Kim, Yang-Ki (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Lee, Young-Mok (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Kim, Ki-Up (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Uh, Soo-taek (Division of Respiratory & Allergy Medicine, Department of Internal Medicine, Soonchunhyang University, School of Medicine) ;
  • Noh, Hyung-Jun (Department of Radiology, Soonchunhyang University, School of Medicine) ;
  • Kim, Yong-Jae (Department of Radiology, Soonchunhyang University, School of Medicine) ;
  • Goo, Dong-Erk (Department of Radiology, Soonchunhyang University, School of Medicine)
  • 투고 : 2006.11.29
  • 심사 : 2006.12.21
  • 발행 : 2007.01.30

초록

A bronchial artery aneurysm is a rare condition, which needs optimal treatment due to the possibility of a life-threatening hemorrhage by rupture. The surgical removal of the aneurysm is the standard treatment. However, there are a few reports of coil embolization with a transcatheter. A 69 year-old man was referred for a further evaluation of a mass in the right hilum on chest radiography. He denied any respiratory symptoms. A chest CT scan showed a $3{\times}3{\times}4.5cm$ sized vascular mass with strong contrast enhancement on the right hilar area that originated from the bronchial artery. On the angiogram, the bronchial artery originated from the descending thoracic aorta at the T8 level. A bronchial artery aneurysm was catheterized selectively. and embolized successfully with a coil. After coil embolization, the selective bronchial arteriography confirmed complete occlusion. We report this case of bronchial aneurysm that was treated successfully with coil embolization.

키워드

참고문헌

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