Life-Threatening Hemoptysis Secondary to Rasmussen’s Aneurysm in an HIV Patient. Hemoptisis amenazante secundaria a aneurisma de Rasmussen en. Rasmussen aneurysm (not to be confused with Rasmussen encephalitis) is an uncommon complication of pulmonary tuberculosis and represents a pulmonary . [en] The authors report a case of an year-old boy with a Rasmussen Aneurisma de Rasmussen – relato de um caso em crianca e revisao da literatura.

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Rasmussen’s aneurysm

This is then gradually replaced by fibrin, resulting in thinning of the arterial wall, pseudoaneurysm formation, and subsequent rupture with hemorrhage. On hemoptysis, especially when fatal, in its anatomical and clinical aspects. Massive haemoptysis of pulmonary arterial origin: Published by Elsevier B. Case 2 Case 2.

Treatment options include conservative mana- gement and surgical procedures, however endovascular embolization is the current preferred choice. No dilation of the bronchial arteries or extravasation of contrast medium from these vessels was observed.

The treat- ment of choice is more frequently endovascular emboliza- tion as it is proven to be a safe and effective alternative to surgery Rasmussen’s aneurysm in patients with cavitary tuberculosis is caused due to gradual weakening of adjacent pulmonary arterial wall. One large Rasmussen’s aneurysm, which was arising from the anterior division of the inferior branch of right pulmonary artery, was selectively cannulated using a MicroFerret catheter Cook Medical, Denmark.

Rasmussen’s aneurysm: A rare and forgotten cause of hemoptysis

Our case is of interest because, while our patient did not have a history of tuberculosis, the cause of his life-threatening hemoptysis was a Rasmussen’s aneurysm associated with his previous history of lung infections. Postmortem computed tomographic PMCT demonstration of fatal haemoptysis by aneurismss tuberculosis — radiological-pathological correlation in a case of rupture of Rasmussen’s aneurysm.


Vascular diseases Tuberculosis Circulatory disease stubs. A chest computed tomography CT angiography was performed, showing an aneurysm 1 cm in diameter in the subsegmentary pulmonary artery of the right lower lobe Fig.

Synonyms or Alternate Spellings: Pulmonary artery aneurysms are rare. Fatal hemoptysis caused by ruptured giant Rasmussen’s aneurysm. Penetrating thoracic injuries, such as stab or gunshot wounds, are the most common traumatic cause PAP 2. Pulmonary angiography and embolization for severe haemoptysis due to cavitary pulmonary tuberculosis.

Three days later she presented with a new hemoptysis episode, hemoglobin level drop and hemodynamic instability promp- ting an urgent thoracic computer tomography angiography CTA scan request.

Thoracic sequelae and complications aneurusmas tuberculosis.

When a patient presents with hemoptysis, urgent CTA is as accurate as bronchoscopy in detecting the site of bleeding 8, helps to identify the underlying cause and the effects of hemorrhage on lung parenchyma. Acute Med, 11pp.

Rasmussen aneurysm | Radiology Reference Article |

It is a monthly Journal that publishes a total of 12 issues, which contain these types of articles to different extents. After tracheal intubation and successful cardiopul- monary resuscitation she was admitted to an intensive care unit. C Coronal MIP CT reconstruction pulmonary parenchyma window showing signs of lung hemorrhage asterisk and bilateral residual infectious parenchymal opacities arrows.

By using this site, you agree to the Terms of Use and Privacy Policy. Thank you for updating your details. The patient evolved favorably with conservative management, and no complications or other hemoptysis episodes were reported. Embolization of multiple Rasmussen aneurysms as a treatment of haemoptysis. Aneuismas artery aneurysms and pseudoaneurysms in adults: Views Read Edit View history. Log in Sign up.

In view of the patient’s hemodynamic instability, an angiogram with selective embolization of the aneurysm was performed, achieving complete occlusion of the lesion Fig. It is almost pathognomonic if present in the right clinical content and in the vicinity aheurismas a tuberculous cavity.


Journal List Indian Heart J v.

CT pulmonary angiography is the investigation of choice to diagnose them and should be done in patients with recurrent hemoptysis, especially if there is recurrence after prior bronchial artery embolization.

Association of Three Developmental Lung Anomalies in an This page was last edited on 16 Novemberat Conclusions Rasmussen’s aneurysm is a rare and often missed cause of hemoptysis in patients with tubercular lung cavities. Furthermore, the Journal is also present in Twitter and Facebook.

Airway management of ruptured pulmonary artery Rasmussen aneurysm and massive hemoptysis. Bilateral pleural effusion, mediastinal adeno- pathies and esophageal dilatation were noted. Although a rare complication, pulmonary artery pseudoa- neurysms are associated with high morbidity and mortality, and should not be missed. D Coronal dasmussen MIP CT reconstruction after embolization showing embolization material coil occluding the Rasmussen’s aneurysm arrow.

Pulmonary artery aneurysms and pseudoaneurysms in adults: A Coronal maximum intensity projection MIP CT reconstruction, showing a Rasmussen’s aneurysm arrow on a subsegmentary branch of the right lower lobe artery. Letter to the Editor.

Chest,pp. Letter to the Editor. CT-angiography is the diagnostic test of choice in patients with hemoptysis: Continuing navigation will be considered as acceptance of this use. Articles from Indian Heart Journal are provided here courtesy of Elsevier. Conflicts of interest The authors have none to declare.