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Angle-resolved Photoemission Spectroscopy At Ultra-low Temperatures

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Published on: October 9, 2012

Rasmussen aneurysm in a patient from the Ukraine: A diagnostic challenge.

M Jaspard¹, F Le Pimpec-Barthes², E Caumes¹

¹Infectious disease department, Hopital Pitié Salpétrière, 47-83 boulevard de l'hopital, Cedex 13, 75651, Paris, France.

Travel Medicine and Infectious Disease

|May 4, 2020

Summary

Multi-drug resistant tuberculosis can cause Rasmussen aneurysms, leading to severe bleeding. Surgical intervention proved effective when endovascular coil embolization failed to manage this critical condition.

Keywords:

Aneurysm Multi drug resistance Tuberculosis

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Area of Science:

Pulmonology
Vascular Surgery
Infectious Diseases

Background:

Multi-drug resistant tuberculosis (MDR-TB) poses significant treatment challenges.
Massive haemoptysis is a life-threatening complication in pulmonary conditions.
Rasmussen aneurysm is a rare but critical vascular abnormality.

Purpose of the Study:

To report a case of massive haemoptysis secondary to Rasmussen aneurysm in a patient with MDR-TB.
To evaluate the management strategies for this rare and severe clinical presentation.

Main Methods:

Case report detailing clinical presentation, diagnostic workup, and treatment of a patient with MDR-TB and Rasmussen aneurysm.
Interventional radiology techniques including attempted coil embolization of the feeding artery.
Surgical management involving lung resection.

Main Results:

The patient presented with massive haemoptysis attributed to a Rasmussen aneurysm.
Initial attempts at endovascular coil embolization to occlude the feeding artery were unsuccessful.
Successful hemorrhage control was achieved through subsequent lung surgery.

Conclusions:

Rasmussen aneurysm is a critical consideration in patients with MDR-TB presenting with severe haemoptysis.
While endovascular embolization is a primary treatment option, surgical intervention remains a viable and effective alternative when endovascular methods fail.
Multidisciplinary management is crucial for optimizing outcomes in complex cases of pulmonary vascular complications.