대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제78권5호
  • /
  • Pages.353-357
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  • 2018
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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좌간동맥에서 기시하는 온전한 좌위동맥의 증례

Entirely Replaced Left Gastric Artery from the Left Hepatic Artery: A Case Report

  • 김수영 (인제대학교 일산백병원 영상의학과) ;
  • 서정욱 (인제대학교 일산백병원 영상의학과) ;
  • 신원선 (계명대학교 의과대학 동산의료원 영상의학과)
  • Kim, Suyoung (Department of Radiology, Inje University Ilsan Paik Hospital) ;
  • Seo, Jung Wook (Department of Radiology, Inje University Ilsan Paik Hospital) ;
  • Shin, Wonseon (Department of Radiology, Dongsan Medical Center, Keimyung University School of Medicine)
  • 투고 : 2017.08.20
  • 심사 : 2017.12.23
  • 발행 : 2018.05.01
⟨ 이전 논문 다음 논문 ⟩

초록

복강 동맥에서 기시하는 혈관은 수많은 해부학적 변이를 보인다. 인터벤션 영상 시술 및 수술 과정 중 치료 결과를 향상시키고 합병증을 예방하기 위하여 이러한 변이를 숙지하는 것이 중요하다. 62세 남자 환자가 재발한 간암으로 간동맥 화학색전술을 받기 위하여 내원하였다. 전산화단층촬영술과 혈관조영술에서 좌위동맥은 온전히 좌간동맥에서 기시하는 변이를 보였으며, 복강 동맥 및 대동맥 등 다른 혈관에서 좌위동맥은 확인되지 않았다. 이는 매우 드문 해부학적 변이로서, 본 연구는 좌간동맥에서 기시하는 온전한 좌위동맥을 전산화단층촬영술 및 혈관조영술 모두를 이용하여 확증한 최초의 보고이다.

Arteries originating from the celiac axis have numerous anatomical variations. When performing interventional and surgical procedures, it is important to be aware of these variations to have better outcomes and to prevent iatrogenic complications. We report on a case of a 62-year-old man who came to our institution to receive transarterial chemoembolization for hepatocellular carcinoma. The computed tomography and angiography revealed a rare anatomic variation: the entire left gastric artery originated from the left hepatic artery with no other accessory feature of the left gastric artery from celiac axis or aorta was seen. To our knowledge, this is the first report on the entirely replaced left gastric artery from the left hepatic artery that was confirmed by utilizing both computed tomographic and angiographic images.

키워드

참고문헌

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