낭성 기관지확장증 환자에서 비대된 관상동맥 -기관지동맥 문합 1예
Enlarged coronary-bronchial artery anastomosis in cystic bronchiectasis: A case report
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초록
관상동맥-기관지동맥 간 문합은 특별한 증상이 없는 일반인에서도 관찰할 수 있는 혈관기형이다. 하지만 기저폐질환이 문제가 된다거나 다른 원인들에 의해 문합을 통해 폐로 가는 혈류량이 늘어 심근에 허혈성 증상을 나타내는 경우에는 치료가 필요한 경우가 있다.우리가 보고한 환자는 심한 낭성 기관지확장증으로 인하여 종격동 내 비정상적 문합의 비대가 심한 환자였다. 환자는 비특이적인 흉통을 주소로 시행한 심혈관 조영술에서 우연히 혈관 이상이 발견 되었고, 기관지동맥 색전술과 폐부분절제술을 통하여 성공적인 치료를 받았다.
Abstract
Anastomoses between a coronary artery and bronchial or mediastinal arteries have been described since the 19th century. Although coronary-to-bronchial artery communication has been well described, it remains an unusual finding. We report one adult case of abnormally enlarged two coronary-to-bronchial artery communications in a severe cystic bronchiectasis patient. In this case, the bronchial arteries were also supplied from the multiple systemic arteries (the internal mammary, subclavian, inferior phrenic and intercostal arteries) because of severe cystic bronchiectasis. We treated the patient by embolization of the bronchial artery with the abnormal anastomoses and then by surgical resection of the cystic bronchiectatic lung lesion. To date, the patient remains free of symptoms.(Korean J Med 73:330-335, 2007)
참고문헌 (12)
- Moberg A, "Anastomoses between extra-cardiac vessels and coronary arteries: Ⅰ. via bronchial arteries: post-mortem angiographic studies in adult and newborn infants", Acta Radiol Diagn, 6, pp.177~192 (1967)
- Click RL, "Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival: a report from the Coronary Artery Surgery Study", J Am Coll Cardiol, 13, pp.531~537 (1989)
- Robert WC, "Major anomalies of coronary arterial origin seen in adulthood", Am Heart J, 111, pp.941~963 (1986)
- Yamanaka O, "Coronary artery anomalies in 125,595 patients undergoing coronary angiography", Cathet Cardiovasc Diagn, 21, pp.28~40 (1990)
- Spindola-Franco H, "Pulmonary steal syndrome: an usual case of coronary-bronchial pulmonary artery communication", Radiology, 126, pp.25~27 (1978)
- Green CE, "Acquired coronary to bronchial artery communication: a possible cause of coronary steal", Cathet Cardiovasc Diagn, 7, pp.191~196 (1981)
- Matsunaga N, "Coronary-to- pulmonary artery shunts via the bronchial artery: analysis of cineangiographic studies", Radiology, 186, pp.877~882 (1993)
- Zureikat HY, "Collateral vessels between the coronary and bronchial arteries in patient with cyanotic congenital heart disease", Am J Cardiol, 45, pp.599~603 (1980)
- Björk L, "Anastomoses between the coronary and bronchial arteries", Acta Radiol Diagn, 4, pp.93~96 (1966)
- Jarry G, "Coronary-to-bronchial artery communication: report of two patients successfully treated by embolization", Cardiovasc Intervent Radiol, 22, pp.251~255 (1999)
- Aupetit JF, "Coronary-tobronchial artery anastomosis complicated with myocardial infarction", Int J Cardiol, 18, pp.93~97 (1988)
- Nohara R, "Giant coronary-to-bronchial arterial anastomosis complicated by myocardial infarction", Chest, 84, pp.772~774 (1983)