Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Artery-bronchial Fistula with Massive Hemoptysis due to Pulmonary Tuberculosis

대량객혈로 내원하여 폐결핵에 의한 폐동맥기관지루로 진단된 1예

  • Jo, Kyung-Wook (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Hong, YoonKi (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Han, Jung-Hye (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Lee, Jae-Keun (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Hong, Sang-Bum (Division of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center)
  • 조경욱 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 홍윤기 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 한정혜 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 이재근 (울산대학교 의과대학 서울아산병원 호흡기내과) ;
  • 홍상범 (울산대학교 의과대학 서울아산병원 호흡기내과)
  • Received : 2007.09.10
  • Accepted : 2007.10.15
  • Published : 2007.11.30
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Abstract

Massive and untreated hemoptysis is associated with a >50% mortality rate. Since bleeding has a bronchial arterial origin in most patients, bronchial artery embolization (BAE) has become an accepted treatment in massive hemoptysis. The possibility of bleeding from pulmonary artery should be considered in patients in whom the bleeding focus cannot be found by Bronchial angiogram. Indeed, the bleeding occurs from a pulmonary artery in approximately 10% of patients with massive hemoptysis. The most common causes of bleeding from the pulmonary artery are pulmonary artery rupture associated with a Swan-Ganz catheter, infectious diseases and vasculitis. We report a rare case of a fistula between the right upper lobar pulmonary artery and the right upper lobar bronchus in a 71-year-old woman who presented with massive hemoptysis.

저자들은 71세 여자환자가 대량객혈을 주소로 내원하여 폐동맥과 기관지의 누공을 확인한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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