A Case of Rasmussen Aneurysm Treated by Pulmonary Arterial Embolization.
10.4046/trd.2001.51.1.53
- Author:
Sung Oh PARK
;
Hyuk KO
;
Su Hee KIM
;
Wan PARK
;
Deck Hee LEE
;
Dae Sik RYU
;
Bock Hyun JUNG
- Publication Type:Case Report
- Keywords:
Massive hemoptysis;
Rasmussen aneurysm;
Respiratory failure;
Coil embolization
- MeSH:
Aneurysm*;
Aneurysm, False;
Arteries;
Bronchial Arteries;
Embolization, Therapeutic;
Hemoptysis;
Hemorrhage;
Humans;
Male;
Respiratory Insufficiency;
Thorax;
Tomography, Spiral Computed;
Tuberculosis, Pulmonary
- From:Tuberculosis and Respiratory Diseases
2001;51(1):53-58
- CountryRepublic of Korea
- Language:Korean
-
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.
