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폐혈증성 색전에 의한 폐동맥 색전증시 하대정맥 결찰 1예
권굉보,서보양,송광렬 대한혈관외과학회 1990 Vascular Specialist International Vol.6 No.1
The most serious complication of venous thrombosis is pulmonary embolism. Septic emboli unresponsive to antibiotic and anticoagulant therapy pose a significant threat to life. Complete ligation of the inferior vena cava is now a relatively uncommon procedure. It causes an acute decrease in venous return to the heart, and the associated hemodynamic consequences result in a significant operative mortality rate. It entails also a greater likehood of postoperative sequelae. Recently authors experienced a case of successful result after inferior vena caval ligation of septic pulmonary embolism. 47 years old female patient complained of painful swelling on right leg with fever due to Moxa cautery for 4 weeks. Dyspnea, chest pain and hemoptysis have developed since 5 days ago. Laboratory findings were WBC 16,600/mm³, Pa0₂,65.2mmHg, PaCO₂,35mmHg, SGOT 53 IU/L, LDH 329 IU/L and bilirubin 2.2mg/dl. The diagnosis was established with impedance plethysmography, B-mode duplex scan, venography, perfusion lung scan and pulmonary arteriography. After complete vena caval ligation, systemic anticoagulant and antibiotic therapy had continued. Patient was recovered without any significant sequelae after 2 weeks. In conclusion, complete vena caval ligation may induce more operative mortality and postoperative sequelae than plication. In case of septic pulmonary emboli, early ligation will prevent further disastrous results.