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Hemoptysis Associated With Rasmussen Aneurysm
Sarah Ream1, Abhay Raina2, Juan B Figueroa-Casas3
1Internal Medicine, Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine, El Paso, USA.
Rasmussen aneurysm, a rare cause of life-threatening hemoptysis, involves a pulmonary artery pseudoaneurysm. This case highlights successful management through coil embolization, emphasizing its importance in differential diagnosis.
Area of Science:
- Cardiology
- Pulmonology
- Interventional Radiology
Background:
- Hemoptysis, or coughing up blood, stems from various pulmonary vascular issues, ranging from minor to life-threatening.
- Rasmussen aneurysm, a specific type of pulmonary artery pseudoaneurysm, is infrequently documented and often overlooked in clinical practice.
Observation:
- A 63-year-old male smoker with no prior lung disease presented with a week of cough and hemoptysis.
- Computed tomography angiography (CTA) revealed a pseudoaneurysm and hemorrhage, indicative of Rasmussen aneurysm.
Findings:
- Pulmonary angiography confirmed the pseudoaneurysm.
- Interventional radiology successfully treated the condition via coil embolization of the tertiary feeding arteries.
Implications:
- This case underscores the successful endovascular management of a rare Rasmussen aneurysm.
- It emphasizes the critical need to include Rasmussen aneurysm in the differential diagnosis for patients presenting with hemoptysis.
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