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: Zolozragore Zulkikree
Country: Mexico
Language: English (Spanish)
Genre: Photos
Published (Last): 8 February 2010
Pages: 21
PDF File Size: 14.97 Mb
ePub File Size: 1.79 Mb
ISBN: 739-9-20056-584-3
Downloads: 53727
Price: Free* [*Free Regsitration Required]
Uploader: Zolotaxe

Rasmussen aneurysm | Radiology Reference Article |

A rare source of bleeding in such a patient is from Rasmussen’s aneurysm arising from the pulmonary arteries. Hemoptysis in such a patient can result from a number of etiologies like tubercular reactivation, bronchiectasis, aspergiloma and vascular complications like hypervascularity from bronchial arteries, arteriovenous fistula formation, pseudoaneurysms, etc.

CT and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment. Computer tomography angiography showed a pulmonary artery pseudoaneurysm in the posterior basal segmental branch of the left lower lobe.

Iatrogenic lesions are the most frequent cause of PAPs and include right heart and pulmonary artery catheterization, chest tube insertion, pulmonary biopsies and cardiothoracic surgery 3.

Synonyms or Alternate Spellings: We report the case of a year-old man with advanced human immunodeficiency virus infection stage C3smoker and former intravenous drug user, who presented at our hospital with life-threatening hemoptysis, hypotension and tachycardia.

  320MX 2 PDF

Rasmussen’s aneurysm

Most cases originate in hypertrophic bronchial arteries. His right pulmonary artery was selectively cannulated via right femoral venous approach.

Archivos de Bronconeumologia http: Pulmonary angiography rasmussem embolization for severe haemoptysis due to cavitary pulmonary tuberculosis.

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

Immediate transcatheter embolization of Swan-Ganz catheter-induced pulmonary artery pseudoaneurysm. Life-threatening hemoptysis is a medical emergency defined as the expectoration of over ml blood in a h period. Letter to the Editor. Open in a separate window.

A weakening of the pulmonary artery wall from adjacent cavitary tuberculosis is the cause of this condition: Penetrating thoracic injuries, such as stab or gunshot wounds, are the most common traumatic cause PAP 2. Complete occlusion of aneurysms by coils marked by arrows as seen in a 3D virtually rendered image and b maximum intensity transverse section projection of repeat CT pulmonary angiogram.

Massive haemoptysis due to Rasmussen aneurysm: CT pulmonary angiography is the best investigation to confirm their existence and should be done in patients with recurrent hemoptysis, especially if it happens after bronchial arteries have been successfully embolized.

Chest,pp. Pulmonary artery rupture is a rare complication of pulmo- nary artery catheterization. Discussion Hemoptysis is a known complication of active or old burnt-out pulmonary tuberculosis. No dilation of the bronchial arteries or extravasation of contrast medium from these vessels was observed.

Rasmussen’s aneurysm, named after Fritz Valdemar Rasmussen, is an aneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Rasmussen aneurysm not to be confused with Rasmussen encephalitis is an uncommon complication of pulmonary tuberculosis and represents a pulmonary artery aneurysm adjacent or within a tuberculous cavity. Etiology, presentation, diagnosis, and treatment. Pulmonary artery false aneurys- ms secondary to Swan-Ganz pulmonary artery catheters.


Hemoptysis as a sequelae of past tubercular infection of lungs aneurismaw a known occurrence. During the procedure she presented with massive hemoptysis and hemodynamic instability leading to a cardiopulmonary arrest. While the “classic” terminology relates the lesion to cavitary tuberculosis, the term is now used for the anatomic aneurysm associated with other destructive lung lesions.

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

Chronic bronchitis or bronchiectasis in such patients could also be responsible for hemoptysis. Hemoptisis amenazante secundaria a aneurisma de Rasmussen Airway management of rsmussen pulmonary artery Rasmussen aneurysm and massive hemoptysis. Embolization procedure technique for treating Rasmussen’s aneurysm needs special care, as being pseudoaneurysm, they are very prone to rupture and bleeding during the procedure.

Translated from the Hospitals-Tidende, 11th year, nos. About Blog Go ad-free.