인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Abstract Background Recurrent haemoptysis is a common but diagnostically challenging presentation in medicine. While infection, malignancy, and pulmonary embolism constitute the frequent differentials, rare vascular anomalies such as systemic artery to pulmonary artery fistula (SA-PAF) may occasionally underlie persistent or unexplained cases. Early recognition is essential to prevent morbidity from chronic haemorrhage, pulmonary hypertension, or high-output cardiac failure. Case Presentation A 26-year-old woman presented with progressive haemoptysis over 12 years. She had no prior history of trauma, pulmonary infections, or systemic disease. Initial investigations, including chest radiography, haematological parameters, and autoimmune screening, were unremarkable. Echocardiography demonstrated normal left ventricular function without pulmonary hypertension. Given the persistence of symptoms and normal conventional imaging, CT thorax was performed and suggested bronchiectatic changes; however, subsequent CT bronchial angiography identified a vascular tuft in the left lower lobe, supplied by an anomalous branch of the left inferior phrenic artery draining into a pulmonary artery segment. The findings were consistent with a systemic artery to pulmonary artery fistula. The patient underwent successful endovascular embolisation with complete resolution of haemoptysis on follow-up. Discussion This case underscores the importance of maintaining a broad differential in patients with recurrent haemoptysis, particularly when initial investigations fail to yield a cause. Although SA-PAF is a rare entity, it can mimic more common pathologies such as tuberculosis-related bronchiectasis, especially in endemic regions. Conventional imaging modalities may not always detect subtle vascular abnormalities, and escalation to CT angiography should be considered early when clinical suspicion persists. Timely identification permits minimally invasive management, averting potential complications such as irreversible pulmonary hypertension or high-output cardiac states. Continued surveillance remains advisable given the theoretical risk of recurrence or new collateral formation.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
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