Rasmussen's aneurysm: A forgotten scourge

Chatterjee, Kshitij; Colaco, Brendon; Colaco, Clinton; Hellman, Michael D.; Meena, Nikhil

doi:10.1016/j.rmcr.2015.08.003

Cited by 23 publications

(36 citation statements)

References 9 publications

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“…22 The diagnostic modality of choice is pulmonary angiotomography, which provides important information regarding the extent, number, size, and location of the aneurysm, thereby aiding in the selection of an appropriate therapeutic approach. 10,23,24 Unfortunately, pulmonary angiotomography was not performed in this patient.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical repair is recommended in cases of a destructive process in the lungs, associated with secondary infections, symptomatic aneurysms, and thrombus formation in the aneurysmal sack, or an aneurysm with a diameter greater than 5.5 cm. 3,4,23 Surgical treatments include aneurysmorrhaphy or arterioplasty and aneurysmectomy. 4,23,24 When the patient is clinically stable and the lesion is located in a lobe, lobectomy can be performed, but it is associated with a high risk of complications and a mortality rate of 20%.…”

Section: Discussionmentioning

confidence: 99%

“…3,4,23 Surgical treatments include aneurysmorrhaphy or arterioplasty and aneurysmectomy. 4,23,24 When the patient is clinically stable and the lesion is located in a lobe, lobectomy can be performed, but it is associated with a high risk of complications and a mortality rate of 20%. 25 Less invasive techniques have been used in the past after failure of surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…25 Currently, arterial catheter embolization is the treatment of choice for unstable and active bleeding patients. [23][24][25] CONCLUSION PAA is a rare entity of multifactorial etiology. Dissection and rupture are the most serious complications and can be fatal.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary artery aneurysm rupture

et al. 2019

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Pulmonary artery aneurysm is a disorder of varying etiology and should be diagnosed early for appropriate interventions. A 45-year-old man was hospitalized for chest pain, dyspnea, cough, chills, diarrhea, and vomiting, which had started 3 weeks before admission. Physical examination indicated a reduced vesicular murmur in the right hemithorax. A chest x-ray performed indicated a pneumothorax and pulmonary abscess in the right hemithorax. Thoracostomy released abundant purulent and fetid fluid. Direct examination of the pleural fluid using saline revealed structures similar to Trichomonas. Non-contrast chest computed tomography revealed right pneumothorax along with an irregular cavitation located at the pleuropulmonary interface of the posterior margin of the right lower lobe. A pleurostomy was performed. On the second postoperative day, the patient suffered a sudden major hemorrhage through the surgical wound and died on the way to the operating room. The autopsy revealed an abscess and ruptured aneurysm of the lower lobar artery in the lower right lung. Microscopic examination revealed extensive liquefactive necrosis associated with purulent inflammation and the presence of filamentous fungi and spores. This case can be characterized as a severe disorder that requires early diagnosis to achieve a good therapeutic response and to avoid fatal outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pulmonary artery aneurysm rupture

et al. 2019

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“…Minor hemoptysis occasionally occurs in cases of pulmonary TB; however, it is mostly self‐limiting and remitted by anti‐tubercular therapy (ATT). Life‐threatening hemoptysis generally originates arterially . It is defined as >250 mL of blood coughed up within a 24‐h period, with mortality of approximately 80% if left untreated .…”

Section: Introductionmentioning

confidence: 99%

Ambiguous presentation of Mycobacterium avium complex‐associated Rasmussen aneurysm

Chiu

Kuo

Lai

et al. 2017

Respirology Case Reports

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A 77‐year‐old man with a progressively dry cough (two months duration) was admitted with hemoptysis. Chest computed tomography (CT) revealed left lingular lobe consolidation and one thick‐walled cavity lesion over the left lower lobe, which was accompanied by satellite micro‐nodules in a tree‐in‐bud pattern. CT‐guided biopsy confirmed mycobacterial infection, and subsequent culture yielded Mycobacterium avium complex (MAC). Unremitting hemoptysis was present despite treatment (14 days) with ethambutol, rifampin, clarithromycin, and streptomycin. Initial CT angiography (CTA) to determine the source of the hemoptysis revealed a suspected aneurysm in the consolidated left lingular lobe; however, this could not be localized via catheter angiography during the pulmonary and bronchial arterial phases. Two weeks later, a massive hemoptysis episode led to haemodynamic instability and serious consequences. Follow‐up CTA confirmed the previously detected aneurysm, and glue embolization was performed successfully. This case report highlights a rare but catastrophic MAC‐associated pseudoaneurysm and relevant treatment options.

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