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폐엽절제술 후 생긴 급성폐동맥색전증에서 수술을 통한 색전 제거술

Open Embolectomy of an Acute Pulmonary Artery Embolism after Pulmonary Lobectomy

  • 김재준 (가톨릭대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 김환욱 (가톨릭대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 왕영필 (가톨릭대학교 의과대학 서울성모병원 흉부외과학교실) ;
  • 박재길 (가톨릭대학교 의과대학 서울성모병원 흉부외과학교실)
  • Kim, Jae-Jun (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Hwan-Wook (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Wang, Young-Pil (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Jae-Kil (Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
  • 투고 : 2010.06.01
  • 심사 : 2010.07.13
  • 발행 : 2010.08.05

초록

폐절제후 발생하는 급성폐동맥색전증은 매우 드물지만 높은 사망률을 보인다. 이는 폐절제후 발생하는 가장 위험한 합병증 중에 하나이다. 폐엽절제 후 아무런 합병증 없이 회복 중이던 환자에서 갑자기 발생한 급성폐동맥색전증으로 보존적 치료에도 악화되어 응급 색전제거술로 치료하여 좋은 결과를 얻었기에 문헌 고찰과 함께 발표하는 바이다.

Acute massive pulmonary artery embolism after pulmonary resection is very rare, but has a high mortality rate. This is one of the most severe complications after pulmonary resection. Acute pulmonary artery embolism developed suddenly in a patient who underwent lobectomy and was recovering without complications. Because the patient’s condition was aggravated after conservative treatment, we did emergency open embolectomy which was successful. Hence, we report this case with a literature review.

키워드

참고문헌

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