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.

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Support Center Support Center. Etiology, presentation, diagnosis, and treatment. Massive haemoptysis of pulmonary arterial origin: A pseudoaneurys misseenasaroundorovalopacity with equivalent enhancement when compared to adjacent vessels, and in continuity with an arterial branch. Life-threatening hemoptysis is a medical emergency defined as the expectoration of over ml blood in a h period.

Our case is of interest because, while our patient did not have a history of tuberculosis, the cause of his life-threatening hemoptysis was a Rasmussen’s aneurysm associated with his previous history of lung infections. No dilation of the bronchial arteries or extravasation of contrast medium from these vessels was observed. Often seen on contrasted chest images as a focal dilatation of one of the pulmonary segmentary arteries adjacent to tuberculous parenchymal change or a chronic tuberculous cavity.

This branch was occluded by releasing two Hilal coils Cook Medical, Bloomington, IN, USA rasumssen the feeding portion of this branch prior to the aneurysms and thus occluding both of them. Open in a separate window. Mild hemoptysis in a patient with history of old treated tuberculosis of lungs is usually secondary to tubercular reactivation or secondary bacterial or Aspergillus infection of a tuberculous cavity.


After tracheal intubation and successful cardiopul- monary resuscitation she was admitted to an intensive care unit. Anrurismas also resulted in successful control of hemoptysis. Although a rare complication, pulmonary artery pseudoa- neurysms are associated with high morbidity and mortality, and should not be missed.

Rasmussen’s aneurysm – Wikipedia

He had undergone bronchial artery embolization earlier at a different hospital. Xe and CT angiography in massive haemoptysis with emphasis on pre-embolization assessment. Chest,pp. Clinical presentation of a PAP can range from an incidental finding to a life-threatening bleeding with massive hemoptysis.

A chest computed tomography CT angiography aenurismas performed, showing an aneurysm 1 cm in diameter in the subsegmentary pulmonary artery of the right lower lobe Fig. Failure to do so may prevent detection of a Rasmussen’s aneurysm, and if the patient finally undergoes an angiogram for treatment of their hemoptysis, the result may be unnecessary embolization of the systemic arteries.

Rasmussen’s aneurysm

Pulmonary artery pseudoaneurysms may be caused by infection, trauma, neoplasm or iatrogenic lesions, such as pulmo- nary artery rupture aneirismas right heart artery catheterization. Synonyms or Alternate Spellings: Hemoptisis amenazante secundaria a aneurisma de Rasmussen en paciente VIH.

Clin Radiol, 66pp. You can change the settings or obtain more information by clicking here. 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.

Rasmusseh addition aneurismax emphysema phenotype chronic obstructive lung disease and hepatitis C-related liver cirrhosis, he had had multiple lung infections caused by unusual pathogens Pneumocystis jiroveciinon-tuberculous mycobacteria, semi-invasive aspergillosis, etc. Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal.


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Bronchial and nonbronchial systemic artery anfurismas for life threatening hemoptysis: All articles with unsourced statements Articles with unsourced statements from March All stub articles. SRJ is a prestige metric based on the idea that not all citations are the same. Conflicts of interest The authors have none to declare. Sem tratamento, os pseudoaneurismas podem aumentar ou sofrer ruptura.

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. They may in fact have been more common prior to the use of antibiotics. Author information Article notes Copyright and License information Disclaimer. CiteScore measures average citations received per document published. aneurismsa

Rasmussen neoplastic lesions, either primary or more rarely secondary, can erode an arterial wall leading to a PAP formation.

When secondary to tuber- culosis, they are called Rasmussen aneurysms, usually found in the upper lobes. 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.