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Case Report
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Korean J Med. 2015;88(4):430-433. Published online April 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.4.430
- 만성 대퇴동정맥루 교정술 후 발생한 폐색전증
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이하연1, 최상일2, 임청3, 채인호1, 최동주1, 조영석1
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1서울대학교 의과대학 분당서울대학교병원 내과
2서울대학교 의과대학 분당서울대학교병원 영상의학과
3서울대학교 의과대학 분당서울대학교병원 흉부외과
- Pulmonary Thromboembolism - A Complication after Surgical Repair of a Chronic Femoral Arteriovenous Fistula
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Ha-Youn Lee1, Sang-Il Choi2, Cheong Lim3, In-Ho Chae1, Dong-Ju Choi1, Young-Seok Cho1
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1Departments of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
2Departments of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
3Departments of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- Corresponding author: Young-Seok Cho ,Tel: +82-31-787-7018, Fax: +82-31-787-4051, Email: flammeus1@gmail.com
- Received: April 29, 2014; Revised: July 22, 2014 Accepted: September 22, 2014.
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߽ɾ :폐색전증; 동정맥루; 수술 후 합병증
- Abstract
- Rarely, an arteriovenous fistula (AVF) can follow a femoral arterial puncture for cardiovascular catheterization. Surgical repair has been suggested as the standard treatment. We report a 66-year-old woman with a pulmonary thromboembolism as a complication of surgical repair of a chronic femoral AVF. We believe that the repair of the AVF led to a sudden decrease in venous blood flow, leading to thrombus formation at the site of damaged endothelium. Therefore, doctors should consider all possible complications that can arise from a sudden change in blood flow as a result of repairing a chronic AVF.
Keywords :Pulmonary thromboembolism, Arteriovenous fistula, Postoperative complications
