A Case of Rasmussen Aneurysm Treated by Pulmonary Arterial Embolization.

Park, Sung Oh; Ko, Hyuk; Kim, Su Hee; Park, Wan; Lee, Deck Hee; Ryu, Dae Sik; Jung, Bock Hyun

doi:2001.51.1.53

Tuberc Respir Dis > Volume 51(1); 2001 > Article

Case Report

Tuberculosis and Respiratory Diseases 2001;51(1):53-58.
DOI: https://doi.org/10.4046/trd.2001.51.1.53 Published online July 1, 2001.

A Case of Rasmussen Aneurysm Treated by Pulmonary Arterial Embolization.

Sung Oh Park, Hyuk Ko, Su Hee Kim, Wan Park, Deck Hee Lee, Dae Sik Ryu, Bock Hyun Jung

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.

Key Words: Massive hemoptysis, Rasmussen aneurysm, Respiratory failure, Coil embolization