Tuberculosis and Respiratory Diseases
- 제52권5호
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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)
임신중에 발견된 다발성 폐 동정맥 기형 1예
A Case of Multiple Pulmonary Arteriovenous Malformation in Pregnancy
- 이병호 (경희대학교 의과대학 내과학교실) ;
- 조용선 (경희대학교 의과대학 내과학교실) ;
- 최천웅 (경희대학교 의과대학 내과학교실) ;
- 유지홍 (경희대학교 의과대학 내과학교실) ;
- 강홍모 (경희대학교 의과대학 내과학교실)
- 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)
- 발행 : 2002.05.30
초록
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.
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).