Hemoptisis amenazante secundaria a aneurisma de Rasmussen en paciente VIH Rasmussen’s aneurysm is an uncommon severe complication of pulmonary. 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.

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Rasmussen’s aneurysm is a rare and often missed cause of hemoptysis in patients with tubercular lung cavities. Even when the pulmonary aneurysm is present, the actual bronchial bleeding may be from the bronchial artery, rather than from the pulmonary artery. C Coronal MIP CT reconstruction pulmonary parenchyma window showing signs of lung hemorrhage asterisk and bilateral residual infectious parenchymal opacities arrows.

From Wikipedia, the free encyclopedia. A 67 year old woman, with a background of systemic scle- rosis diagnosed 19 years ago with pulmonary fibrosis, cardiac insufficiency and gastrointestinal involvement, and open-heart aortic biologic valve replacement to treat aortic stenosis inwas referred for an elective right heart catheterization due to pulmonary hypertension.

Pseudoaneurisma da artéria pulmonar: uma lesão vascular rara após cateterismo cardíaco direito

In view of the patient’s hemodynamic instability, an angiogram with selective embolization of the aneurysm was performed, achieving complete occlusion of the lesion Fig.

CT-angiography is the diagnostic test of choice in patients with hemoptysis: Known risk aneyrisma include fema- le and older more than 60 years old patients, steroid use and hypothermia 5.

Fatal haemoptysis caused by giant Rasmussen’s aneurysm.

When a patient presents with hemoptysis, urgent CTA is as accurate as bronchoscopy in detecting the site of bleeding 8, helps to identify the underlying cause and the effects of hemorrhage on lung parenchyma. 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. Endovascular treat- ment of PA pseudoaneurysm caused by Swan-Ganz catheter.


Hemoptysis is a known complication of active or old burnt-out pulmonary tuberculosis. He was treated earlier with bronchial artery embolization.

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.

Rasmussen’s aneurysm

D Coronal oblique MIP CT reconstruction after embolization showing embolization material coil occluding rasmusxen Rasmussen’s aneurysm arrow. This article has been cited by other articles in PMC.

Are you a health professional able to prescribe or dispense drugs? Anerisma aneurysm Rasmussen aneurysms Rasmussen’s aneurysms. A pseudoaneurys misseenasaroundorovalopacity with gasmussen enhancement when compared to adjacent vessels, and in continuity with an arterial branch. A chest computed tomography CT angiography was performed, showing an aneurysm 1 cm in diameter in the subsegmentary pulmonary artery of the right lower lobe Fig. 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.

Etiology, presentation, diagnosis, and treatment. Bronchial artery embolization using various substances rasmmussen gel foam, PVA embolization particles, coils, etc. No dilation of the bronchial arteries or extravasation of contrast medium from these vessels was observed.

Como citar este artigo. Discussion Hemoptysis is a known complication of active or old burnt-out pulmonary tuberculosis. Our case is of interest because, while our patient did not have a history of tuberculosis, the cause of rasmuasen life-threatening hemoptysis was a Rasmussen’s aneurysm associated with his previous history of lung infections.

Clin Radiol, 66pp. Computer tomography angiography usually allows pseudoaneurysm diagnosis, localization and characterization and can aid in therapeutic procedure planning.

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.


We report one such patient who had recurrent hemoptysis despite prior bronchial artery embolization procedure, and on evaluation by CT pulmonary artery angiogram was found to have multiple Rasmussen’s aneurysms arising from the pulmonary arteries, which were then successfully treated by coil embolization.

J Zneurisma Trauma Shock. Bronchial and aneurizma systemic artery embolization for life threatening dr Massive haemoptysis due to Rasmussen aneurysm: Tuberculosis, pyogenic bacteria or dde can cause PAPs. On recurrence of hemoptysis, he was reevaluated and was found to have multiple Rasmussen’s aneurysms arising from the pulmonary arteries, which were successfully treated by coil embolization. National Center for Biotechnology InformationU.

Previous article Next article. Sem tratamento, os pseudoaneurismas podem aumentar ou sofrer ruptura. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Unable to process the form. Special care should be taken for embolization of Rasmussen’s aneurysms, as they are very prone to rupture and bleeding.

Postmortem computed tomographic PMCT demonstration of fatal haemoptysis by pulmonary aneurismq — radiological-pathological correlation in a radmussen of rupture of Rasmussen’s aneurysm. A rare source of bleeding in such a patient is from Rasmussen’s aneurysm arising from the pulmonary arteries. Hemoptysis as a sequelae of past tubercular infection of lungs is a known occurrence.

Bilateral pleural effusion, mediastinal adeno- pathies and esophageal dilatation were noted. Mycotic aneurisms and pyogenic bacteria PAPs are more frequently diagnosed in intrave- nous drug users and are associated with endocarditis and septic embolization. A Coronal maximum intensity projection MIP CT reconstruction, showing a Rasmussen’s aneurysm arrow on a subsegmentary branch of the right lower lobe artery.

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