A Case of Pulmonary Arterial Thrombosis in a Patient with Tuberculous-destroyed Lung and Pulmonary Hypertension

결핵성 파괴폐에 의한 폐동맥 고혈압 환자에서 발견된 근위부 폐동맥 혈전증 1예

  • Lee, Ji Eun (Department of Internal Medicine, Pochon CHA University College of Medicine) ;
  • Kim, Jung Hyun (Department of Internal Medicine, Pochon CHA University College of Medicine) ;
  • Kang, Min Kyoung (Department of Internal Medicine, Pochon CHA University College of Medicine) ;
  • Park, Hyun Jeong (Department of Internal Medicine, Pochon CHA University College of Medicine) ;
  • Lee, Ji Hyun (Department of Internal Medicine, Pochon CHA University College of Medicine) ;
  • Kim, Eun Kyung (Department of Internal Medicine, Pochon CHA University College of Medicine) ;
  • Lee, Young Kyung (Department of Radiology, Pochon CHA University College of Medicine) ;
  • Jeong, Hye Cheol (Department of Internal Medicine, Pochon CHA University College of Medicine)
  • 이지은 (포천중문의과대학교 분당차병원 내과학교실) ;
  • 김정현 (포천중문의과대학교 분당차병원 내과학교실) ;
  • 강민경 (포천중문의과대학교 분당차병원 내과학교실) ;
  • 박현정 (포천중문의과대학교 분당차병원 내과학교실) ;
  • 이지현 (포천중문의과대학교 분당차병원 내과학교실) ;
  • 김은경 (포천중문의과대학교 분당차병원 내과학교실) ;
  • 이영경 (포천중문의과대학교 분당차병원 영상의학교실) ;
  • 정혜철 (포천중문의과대학교 분당차병원 내과학교실)
  • Received : 2007.11.15
  • Accepted : 2008.01.15
  • Published : 2008.01.30

Abstract

Pulmonary arterial thrombosis develops during hypercoagulable states, intra-arterial tumorous conditions, and congenital heart disease accompanied by pulmonary hypertension. Thrombosis in the main pulmonary arterial stump after pneumonectomy can also occur. Herein, we report a very rare case of pulmonary arterial thrombosis in a patient with pulmonary hypertension and a lung destroyed by tuberculosis. He presented with aggravated dyspnea without fever or purulent sputum. His chest computerized tomography scan showed left main pulmonary arterial thrombosis as a convex shape, with the ipsilateral distal arteries and arterioles showing parenchymal destruction. After excluding pulmonary thromboembolism and hypercoagulable disorders, we diagnosed pulmonary arterial thrombosis and treated him with an anticoagulant.

저자들은 결핵성 파괴폐 환자에서 추적관찰 중 급성 호흡곤란을 주소로 내원하여 주폐동맥 혈전증으로 진단된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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