Tuberc Respir Dis.  2001 Jul;51(1):53-58. 10.4046/trd.2001.51.1.53.

A Case of Rasmussen Aneurysm Treated by Pulmonary Arterial Embolization

• Park SO
• Ko H
• Kim SH
• Park W
• Lee DH
• Ryu DS
• Jung BH

• KMID: 2318337
• DOI: http://doi.org/10.4046/trd.2001.51.1.53

Abstract

A 42 year-old male with a history of multidrug-resistant pulmonary tuberculosis suddenly developed massive hemoptysis. Embolization of a bronchial artery branch and the collateral systemic arteries did not resolve the recurrent bleeding. Spiral computerized tomography(spiral CT) of the chest showed contrast enhanced nodules within a large cavity at the left lower lobe in the arterial phase suggesting a Rasmussen aneurysm. A pulmonary angiogram showed abnormal vascular nodules at that site. Coils were deployed at both the proximal and distal vessels of this aneurysmal sac for embolization. Transcatheter arterial embolization is a safe and effective means of controlling bleeding from this pulmonary arterial pseudoaneurysm. Here we report a case of a Rasmussen aneurysm diagnosed by spiral CT, which was successfully treated by pulmonary arterial embolization with a coil.

Keyword

Massive hemoptysis; Rasmussen aneurysm; Respiratory failure; Coil embolization

MeSH Terms

Aneurysm*
Aneurysm, False
Arteries
Bronchial Arteries
Embolization, Therapeutic
Hemoptysis
Hemorrhage
Humans
Male
Respiratory Insufficiency
Thorax
Tomography, Spiral Computed
Tuberculosis, Pulmonary