Tuberculosis and Respiratory Diseases
- Volume 52 Issue 5
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- Pages.545-549
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- 2002
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- 1738-3536(pISSN)
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- 2005-6184(eISSN)
A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy
임신중에 발견된 다발성 폐 동정맥 기형 1예
- Lee, Byung-Ho (Department of Internal Medicine, Kyung Hee University Medical School) ;
- Cho, Young-Seon (Department of Internal Medicine, Kyung Hee University Medical School) ;
- Choi, Cheon-Woong (Department of Internal Medicine, Kyung Hee University Medical School) ;
- Yoo, Jee-Hong (Department of Internal Medicine, Kyung Hee University Medical School) ;
- Kang, Hong-Mo (Department of Internal Medicine, Kyung Hee University Medical School)
- 이병호 (경희대학교 의과대학 내과학교실) ;
- 조용선 (경희대학교 의과대학 내과학교실) ;
- 최천웅 (경희대학교 의과대학 내과학교실) ;
- 유지홍 (경희대학교 의과대학 내과학교실) ;
- 강홍모 (경희대학교 의과대학 내과학교실)
- Published : 2002.05.30
Abstract
A pulmonary arteriovenous fistula is an uncommon malformation. In pregnancy altered hemodynamics and hormones cause changes in a PAVM(pulmonary arteriovenous malformation) that predispose them to deterioration. Therefore, a PAVM can cause serious and life-threatening complications in pregnancy. Death often results from a cerebral abscess and a rupture of the malformation with a massive hemorrhage. Recently, we experienced a case of a multiple PAVM in pregnant 38 year old woman, which could not be observed in the old chest PA, 1 year ago. The PAVM was confirmed by CT and was angiography and treated by percutaneous embolization. The patient is suspected to have HHT (Hereditary hemorrhagic telangiectasia).
임신시에 발생한 폐동정맥기형은 드문 질환으로 유전성 출혈성 모세혈관확장증과 같이 유전적으로 동반되어 나타날 수 있는 질환이다. 저자들은 임신시에 발생한 호흡곤란과 흉부방사선촬영상의 종괴를 주소로 내원한 환자에서 발견된 폐동정맥기형 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.