½Å°æ¼¶À¯Á¾Áõ 1Çü ȯÀÚ¿¡¼ ¹ß»ýÇÑ À̼Ҽº ±â°üÁöµ¿¸ÆÀÇ Àڹ߼º ÆÄ¿¿¡ ÀÇÇÑ Ä¡¸íÀû Á¾°Ýµ¿Ç÷Á¾: »öÀü¼úÀ» ÀÌ¿ëÇÑ ¼º°øÀû Ä¡·á
Lethal Hemomediastinum due to Spontaneous Rupture of an Aberrant Bronchial Artery in a Patient with Neurofibromatosis Type 1: Successful Treatment with Embolization
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ÀÓÀ±Áø ( Im Yun-Jin )
Dankook University Hospital Department of Radiology
ÃÖ¹ÎÁ¤ ( Choi Min-Jeong )
Dankook University Hospital Department of Radiology
±èºÀ¸¸ ( Kim Bong-Man )
Dankook University Hospital Department of Radiology
Abstract
½Å°æ¼¶À¯Á¾Áõ 1Çü ȯÀÚ¿¡¼ Ç÷°ü ÀÌ»ó¿¡ ÀÇÇÑ Àڹ߼º ÃâÇ÷Àº µå¹°Áö¸¸, ȯÀÚ¿¡°Ô Ä¡¸íÀûÀÎ °á°ú¸¦ ÃÊ·¡ÇÒ ¼ö ÀÖ´Ù. º» ÀúÀÚµéÀº ½Å°æ¼¶À¯Á¾Áõ 1Çü ȯÀÚ¿¡¼ ¹ß»ýÇÑ Àڹ߼º Á¾°Ýµ¿Ç÷Á¾¿¡ ´ëÇÑ Áõ·Ê¸¦ ¼Ò°³ÇÏ°íÀÚ ÇÑ´Ù. ÃâÇ÷Àº µ¿Ãø ¼â°ñÇϵ¿¸Æ¿¡¼ ³ª¿À´Â À̼Ҽº ±â°üÁöµ¿¸ÆÀÇ ÆÄ¿ÀÌ ¿øÀÎÀ̾ú°í, coil°ú N-butyl-2-cyanoacrylate¸¦ ÀÌ¿ëÇÑ »öÀü¼úÀ» ÅëÇØ ¼º°øÀûÀ¸·Î Ä¡·áÇÏ¿´´Ù.
Spontaneous bleeding due to vascular involvement of neurofibromatosis type 1 is rare but potentially fatal. Herein, we report a case of a lethal spontaneous hemomediastinum in a patient with neurofibromatosis type 1. The bleeding was caused by rupture of an aberrant bronchial artery arising from the ipsilateral subclavian artery, which was successfully treated using transarterial embolization with coils and N-butyl-2-cyanoacrylate.
Å°¿öµå
Neurofibromatosis Type 1; Mediastinum; Hemorrhage; Bronchial Artery; Embolization, Therapeutic
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