| A Case of Central Vein Stenosis Complicated by Calcified Lesions of Pulmonary Tuberculosis |
| Hyong Woo Kim, M.D.1, Seok Hwan Kim, M.D.1, Yu Seon Yun, M.D.1, Bo Hee Lee, M.D.1, Seong Ro Yoon, M.D.2, Young Soo Kim, M.D.1, Sun Ae Yoon, M.D.1, Young Ok Kim, M.D.1, Yoo Dong Won, M.D.3 and Hyun Gyung Kim, M.D.1 |
Department of Internal Medicine1
Radiology3
College of Medicine, The Catholic University of Korea, Seoul, Korea. Department of Internal Medicine, College of Medicine2
Konyang University, Daejon, Korea |
| 증례 : 폐결핵 석회화 병변에 의하여 발생한 중심 정맥 협착증 |
| 김형우1, 김석환1, 윤유선1, 이보희1, 윤성로2 김영수1, 윤선애1, 김영옥1, 원유동3, 김현경1 |
| 가톨릭대학교 의과대학 내과학교실1, 건양대학교 의과대학 내과학교실2, 가톨릭대학교 의과대학 방사선과학교실3 |
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| Abstract |
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Central venous stenosis or occlusion is commonly associated with placement of central venous catheters or devices. Although rare, central venous stenosis or occlusion may also develop without a history of previous central venous catheter placement. Here we report a case of central venous stenosis without a previous central catheter placement. A 76-year-old woman with hypertensive nephropathy was admitted due to deterioration of renal function. Tunneled cuffed catheter for hemodialysis was inserted in the right external jugular vein, and we intended to insert central venous catheter because of poorly functioning peripheral vein. But, left internal jugular vein was not cannulated. The patients had a history of pulmonary tuberculosis and chest x-ray revealed extensive calcified lesions mainly in left upper lung. Venography and CT angiogram showed complete occlusion at the confluent point of the left subclavian vein and left internal jugular vein, and left brachiocephalic vein by calcified lesion. The anterior cervical vein and jugular venous arch forming an anastomosis between the neck vein were marked dilated. The patient did not show any clinical symptoms and signs associated with central venous stenosis, and the central venous catheter functioned well, correction of central vein stenosis was not necessary. After the supportive care including temporary hemodialysis, the patient improved from renal dysfunction. |
| Key Words:
Jugular vein, Stenosis, Tuberculosis, Lung, Calcification |
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