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.

Author: Yozshurr Dijin
Country: Saudi Arabia
Language: English (Spanish)
Genre: Science
Published (Last): 15 September 2004
Pages: 168
PDF File Size: 16.17 Mb
ePub File Size: 11.13 Mb
ISBN: 126-9-41665-146-6
Downloads: 67820
Price: Free* [*Free Regsitration Required]
Uploader: Ferr

A Coronal maximum intensity projection MIP CT reconstruction, showing a Rasmussen’s aneurysm arrow on a subsegmentary branch of the right lower lobe artery. Case 1 Case 1. Massive haemoptysis of pulmonary arterial origin: The treat- ment of choice is more frequently endovascular emboliza- tion as it is proven to be a safe and effective alternative to surgery In view of the reported literature of Rasmussen’s aneurysm as a source of massive hemoptysis, he was taken up for the embolization procedure.

Thoracic sequelae and complications of tuberculosis. They may in fact have been more common prior to the use of antibiotics.

Rasmussen’s aneurysm

Some adjacent bronchi had their lumina filled with content, presu- mably blood. CT and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment. Chronic bronchitis or bronchiectasis in such patients could also be responsible for hemoptysis. Sem tratamento, os pseudoaneurismas podem aumentar ou sofrer ruptura. Treatment options include conservative mana- gement and surgical procedures, however endovascular embolization is the current preferred choice.


Rasmussen aneurysm – a case report in a child and review of t..|INIS

He had undergone bronchial artery embolization earlier at a different hospital. Can CT replace bron- choscopy in the detection of the site and cause of bleeding in patients with large or massive hemoptysis? CT-angiography is the diagnostic test of choice in patients with hemoptysis: This branch was occluded by releasing two Hilal coils Cook Medical, Bloomington, IN, USA in the feeding portion of this branch prior to the aneurysms and thus occluding both of them.

Pulmonary artery rupture is a rare complication of pulmo- nary artery catheterization. Letter to the Editor. Manuscripts will be submitted electronically using the following web site: Chest,pp.

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. No dilation of the bronchial arteries or extravasation of contrast medium from these vessels was observed.

If no abnormal bronchial arteries are found, then surgical lobectomy is considered for the control of life-threatening bleed.

Failure to do so may prevent detection of a Rasmussen’s aneurysm, and if the patient finally undergoes an angiogram for treatment of their hemoptysis, the result may be unnecessary embolization of rasmussej systemic arteries.


You can help Wikipedia by expanding it. Rasmussen’s aneurysm is a rare and often missed cause of hemoptysis in patients with tubercular lung cavities. Two bronchoscopic examinations were performed within 24hours, withoutactivebleedingvisualization. You can change the settings or obtain more information by clicking here.

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

Pulmonary artery pseudoaneurysms may be caused by infection, trauma, neoplasm or iatrogenic lesions, such as pulmo- nary artery rupture during right heart artery catheterization. Severe hemoptysis of pulmonary arterial origin: Introduction Rasmussen’s aneurysm, named after Fritz Valdemar Rasmussen, is an aneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity.

Endovascular treat- ment of PA pseudoaneurysm caused by Swan-Ganz catheter. However, a small percentage of life-threatening hemoptysis occurs in pulmonary arteries weakened by infectious processes dee by mycobacteria or fungi.


Historically, pulmonary artery aneurysms were believed to be a common cause of hemoptysis or coughing up blood in tuberculosis. Support Radiopaedia and see fewer ads. Special care should arsmussen taken for embolization of Rasmussen’s aneurysms, as they are very prone to rupture and bleeding.