Rasmussen’s Aneurysm, Rare yet Acknowledged Cause of Massive Hemoptysis: Retrospective Review of 16 Cases
10.7180/kmj.2021.36.2.136
- Author:
Seungwoo CHUNG
1
;
I Re HEO
;
Tae Hoon KIM
;
Sun Mi JU
;
Jung-Wan YOO
;
Seung Jun LEE
;
Yu Ji CHO
;
Sung Un PARK
;
Kyung Nyeo JEON
;
Ho Cheol KIM
Author Information
1. Department of Critical Care Medicine, Gyeongsang University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, Republic of Korea
- Publication Type:Original Articles
- From:Kosin Medical Journal
2021;36(2):136-143
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objectives:Rasmussen’s aneurysm may cause life-threatening hemoptysis. We investigated the clinical characteristics and outcomes of patients with hemoptysis and Rasmussen’s aneurysm.
Methods:We retrospectively investigated patients who clinically presented with hemoptysis and were diagnosed with a Rasmussen’s aneurysm on spiral chest computed tomography (CT).
Results:Our study included 16 patients (men:women, 12:4; mean age, 65.25 ± 13.0 years). Massive hemoptysis was observed in nine patients (56%) and blood-tinged sputum in four patients (25%). Ten patients (62.5%) had a history of pulmonary tuberculosis, and three patients (18.7%) had underlying lung cancer. Chest CT revealed coexisting fungal balls in seven patients (43.7%). Bronchial artery embolization (BAE) was performed in 12 patients (75%). One patient died of uncontrolled massive hemoptysis.
Conclusions:Patients with Rasmussen’s aneurysm showed hemoptysis during the course of the disease; however, bleeding can be controlled with conservative therapy and radiological interventions, such as BAE.
