금속 코일 색전술로 치료된 기관지 확장증이 동반된 기관지 동맥류 1예
A Case of Bronchial Artery Aneurysm with Bronchiectasis and Successful Coil Embolization
박병도 (인하대학교 의과대학 내과학교실)
류정선 (인하의대)
곽승민 (인하대학교)
이홍렬 (인하대학교)
전용선 (인하대학교)
조재화 (인하대학교)
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초록
기관지 동맥류는 드문 질환이나 파열되면 대량출혈이 일어나므로 응급으로 치료가 필요한 질환이다. 진단 즉시 수술적 치료가 원칙이나 최근 경도자 방법이 발전하여 기관지동맥색전술이 추천되고 있다. 반복적인 객혈로 내원한 환자에서 기관지확장증을 동반한 기관지동맥류를 진단하여 금속코일 색전술을 통해 치료에 성공한 1예를 보고하는 바이다.
- keywords
- Bronchial artery aneurysm, Bronchiectasis, Coil embolization
Abstract
Bronchial artery aneurysm (BAA) is a rare entity that requires early diagnosis and immediate treatment due to the possibility of a life-threatening massive hemorrhage through rupture. The standard treatment is a surgical resection of the aneurismal artery. However, various embolization techniques, including coil embolization, are currently used as the optimal treatment because they are less invasive. A 65-year-old woman was referred for the treatment of intermittent hemoptysis. A chest CT scan showed an approximately 2 cm sized vascular mass with strong contrast enhancement originating from the right bronchial artery on the bronchiectatic parenchyma. On the angiogram, the inferior portion of the bronchial artery with a hypertrophic aspect and a huge bronchial artery aneurysm was detected on the left side branch. The bronchial artery aneurysm was embolized successfully with coils at the proximal and distal portion of the aneurysm. After coil embolization, the selective bronchialangiogram confirmed complete occlusion. We report this case of a bronchial artery aneurysm that was treated successfully with coil embolization
- keywords
- Bronchial artery aneurysm, Bronchiectasis, Coil embolization
참고문헌
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