부비동염에서 기원한 진균성 동맥류의 치료과정 중 발생한 코일의 이동

• 영문명: Embolic coil shift during treatment of a mycotic aneurysm stemming from a pre-existing sphenoid sinusitis
• 발행기관: 대한두개저학회
• 저자명: 장혁(Hyeok Chang) 김도희(Do Hee Kim) 김정희(Jung Hee Kim) 이호진(Ho Jin Lee) 홍상덕(Sang Duk Hong) 홍창기(Chang Ki Hong)
• 간행물 정보: 『대한두개저학회지』제15권 제1호, 58~62쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2020.05.30

영문 초록

Invasive sphenoid fungal sinusitis sometimes invades the adjacent structures such as the optic nerve or cavernous sinus. Here, we present the treatment for a primarily embolized mycotic aneurysm that ruptured during endoscopic sinus surgery. This report describes the case of a 72-year-old man with a mycotic aneurysm. Although the patient’s mycotic aneurysm was controlled by coil embolization, the subsequent endoscopic surgery resulted in massive bleeding and dislocation of the embolic coil. The ruptured vessel was stably controlled by internal carotid artery occlusion. This case emphasizes the need for careful consideration when performing endoscopic surgery for sphenoid sinusitis in patients especially with a mycotic aneurysm.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

키워드

Mycotic aneurysm Sphenoid sinusitis Transnasal endoscopic surgery Coiled coil elimination