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Tuberc Respir Dis > Volume 51(1); 2001 > Article
Tuberculosis and Respiratory Diseases 2001;51(1):53-58.
DOI: https://doi.org/10.4046/trd.2001.51.1.53    Published online March 25, 2016.
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


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