Rasmussens aneurysm is an inflammatory pseudoaneurysmal dilatation of a branch of pulmonary artery adjacent to a tuberculous cavity. Life threatening massive hemoptysis from the rupture of a rasmussen s aneurysm is an uncommon yet life threatening complication of cavitary tuberculosis tb. Regression of rasmussen aneurysms has been reported after 9 months of antituberculous treatment. Rasmussen aneurysm definition of rasmussen aneurysm by. Rasmussen s aneurysm is an inflammatory pseudoaneurysmal dilatation of a branch of pulmonary artery adjacent to a tuberculous cavity. Saccular aneurysm most common in cerebral vasculature 90% berryyy aneurysm up to 30mm in diameter silent until rupture 3 dtu electrical engineering, technical university of denmark presentation name 17042008 source.
The rasmussen aneurysm associated with tuberculosis cavitation is declining in incidence with the decline in advanced cavitary tuberculosis. Aneurysms can also be a nidus starting point for clot formation and embolization. Using comsol multiphysics for biomechanical analysis of. Aneurysm morphologic abnormality code system preferred concept name. About 100 years ago, fearn1 gave what appears to be the first. Successful embolization of rasmussen s aneurysm for severe haemoptysis. Jun 28, 20 rasmussens aneurysm is a pulmonarybronchial artery aneurysm adjacent or within a tuberculous cavity. A 3d fsi model consisting of three domains blood, arterial, and aneurismal is used to investigate the effect of the aneurysm on blood flow. Rasmussen s aneurysm is an inflammatory pseudoaneurysm of pulmonary artery adjacent to a tubercular cavity that can gradually weaken the adjacent pulmonary arterial wall.
Prompt radiological diagnosis and management are essential. Risk factors for aneurysm growth univariate analysis revealed excessive alcohol consumption to be a signi cant risk factor for aneurysm growth p 0. A young alcoholic male with confirmed active tb suffered a. Abstract in medical literature, few cases of rasmussens aneurysm have been reported until now, and to the best of our knowledge, there has been no description of a case of rasmussens aneurysm in childhood. In fact, they have long been recognized among the more common causes of massive and fatal hemoptysis in phthisis. Massive hemoptysis is a lifethreatening medical emergency. Aneurysms can also be a nidus starting point for clot formation thrombosis and. To request an appointment or refer a patient, please contact the vestibular disorder staff at 41095593. Successful embolization of rasmussen s aneurysm for severe haemoptysis py jayet, s denys, c chapuistaillard, jo maillard, g christen. Platinum coils are then dispensed through the catheter and placed carefully inside the aneurysm. Request pdf on dec 11, 2017, feng lin and others published rasmussen s aneurysm find, read and cite all the research you need on researchgate.
Pdf we present the case of a rare entity which is a complication of a disease process that had almost disappeared from the western world. Spontaneous regression of multiple rasmussen aneurysms in. Pulmonary tuberculosis is caused by mycobacterium tuberculosis and its manifestations may include parenchymal, airway, vascular, pleural, mediastinal and chest wall lesions. Request pdf on dec 11, 2017, feng lin and others published rasmussens aneurysm find, read and cite all the research you need on researchgate.
Aug 29, 2015 rasmussen s aneurysm is a rare and often missed cause of hemoptysis in patients with tubercular lung cavities. Code system concept centers for disease control and. Pulmonary arterial pseudoaneurysm pap, also called rasmussen aneurysm, is a rare but sometimes fatal complication of pulmonary diseases. The stentgraft is then opened to allow a stable channel for blood flow. Endovascular treatment for peripheral pulmonary artery. Mar 01, 20 abstract in medical literature, few cases of rasmussen s aneurysm have been reported until now, and to the best of our knowledge, there has been no description of a case of rasmussen s aneurysm in childhood. It was originally described by fritz valdemar rasmussen in association with cavitary lung lesions of tuberculosis, and was described in up to 5% of autopsies of those with chronic tuberculosis. Usually distributed peripherally and beyond the branches of the main pulmonary arteries.
A 51yearold male presented with a sudden onset of moderate left hemiparesis and dysarthria. Hemoptysis in the presence of tb, often massive, can result from a number of different etiologies, namely, bronchiectasis, aspergilloma, tb reactivation, scar carcinoma. Endovascular treatment involves inserting a catheter into a large artery, usually above the leg, and threading it through the blood vessels to the site of the aneurysm. The combined treatment of stenting and surgery in a giant. We report a young patient of treated pulmonary tuberculosis who had recurrent hemoptysis. Life threatening massive hemoptysis from the rupture of a rasmussens aneurysm is an uncommon yet life threatening complication of cavitary tuberculosis tb. A rare source of bleeding in such a patient is from rasmussen s aneurysm arising from the pulmonary arteries.
An eponym is a word derived from the name of a person, whether real or fictional. The child described in the case report had a restrictive cardiomyopathy, complicated by pulmonary hypertension, in association with miliary. Pulmonary artery aneurysm as a cause of massive hemoptysis. A young alcoholic male with confirmed active tb suffered a cardiac arrest following massive. Pdf rasmussens aneurysm is a rare sequalae of pulmonary tuberculosis. The hemoptysis is usually massive and needs early and. This is an uncommon cause for massive hemoptysis which was successfully treated by endovascular coiling. Rasmussen aneurysm is an uncommon complication of pulmonary tuberculosis and represents a pulmonary artery aneurysm adjacent to or within a tuberculous cavity. The stent is expected to alter the blood flow into the aneurysm such that the blood coagulates due to low blood velocity, and rupture of the aneurysm is prevented. Rasmussens aneurysm is an inflammatory pseudoaneurysm of pulmonary artery adjacent to a tubercular cavity that can. Lifethreatening hemoptysis secondary to rasmussens aneurysm. Rasmussen s aneurysm is a pulmonary artery aneurysm associated with a cavitary lung lesion. Jul 21, 2007 we present the case of a rare entity which is a complication of a disease process that had almost disappeared from the western world. Rasmussens aneurysm is a very rare sequalae of pulmonary tuberculosis.
Neuroradiological evaluations showed a giant right. Alternatively, you can download the file locally and open with any standalone pdf reader. We describe a new approach to effective embolization of rasmussen aneurysm by simultaneous devascularization of the pseudoaneurysm and systemic arterytopulmonary artery anastomoses. The number of coils used depends on the aneurysms size. Code system concept centers for disease control and prevention. Rasmussens aneurysm in a child with multidrug resistant.
This case study reports on a combined therapy of stenting and surgery for a giant unruptured middle cerebral artery mca aneurysm with the aim of preserving the patency of the vessel during surgery. Aneurysms may be a result of a hereditary condition or an acquired disease. Dilation of a branch of a pulmonary artery in a tuberculous cavity. The endovascular treatment of intracranial aneurysms is welldefined in neurosurgery and its role is becoming increasingly preeminent, thanks to continuous technical improvements. Using comsol multiphysics for biomechanical analysis of stent. With the recent resurgence in reported cases of mycobacterium tuberculosis tb in western communities, it is important to recognize complications and sequelae. Rasmussens aneurysm the dictionary of medical eponyms.
Transcatheter embolization of a rasmussen aneurysm via. A medical eponym is thus any word related to medicine, whose name is derived from a person. Aug 12, 2015 pulmonary tuberculosis is caused by mycobacterium tuberculosis and its manifestations may include parenchymal, airway, vascular, pleural, mediastinal and chest wall lesions. Transcatheter embolization of a rasmussen aneurysm via pulmonary artery with nbutyl cyanoacrylate and iodized oil mixture injection with. Rasmussen aneurysm not to be confused with rasmussen encephalitis is an uncommon complication of pulmonary tuberculosis and represents a pulmonary artery aneurysm adjacent or within a tuberculous cavity. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. An aneurysm is an outward bulging, likened to a bubble or balloon, caused by a localized, abnormal, weak spot on a blood vessel wall. Rasmussens aneurysm is a pulmonary artery aneurysm adjacent or within a tuberculous cavity. Successful embolization of rasmussen s aneurysm for severe. Pdf rasmussens aneurysma brief report researchgate. Hemoptysis in the presence of tb, often massive, can result from. It is our ambition to present a complete survey of all medical phenomena named for a person, with a. For a brain aneurysm, the preferred treatment option is usually surgery. The existence of aneurysms of branches of the pulmonary artery in tuberculous cavities has been known for many years.
As with any aneurysm, a rasmussen s aneurysm is at increased risk of rupture and bleeding into the lungs. Aug 25, 2019 rasmussen aneurysm not to be confused with rasmussen encephalitis is an uncommon complication of pulmonary tuberculosis and represents a pulmonary. We present the case of a rare entity which is a complication of a disease process that had almost disappeared from the western world. A forgotten scourge article pdf available in respiratory medicine case reports 16c august 2015 with 253 reads how we measure reads.
Endovascular treatment for peripheral pulmonary artery aneurysm. This article reports a case of a 42yearold male who had successful coil embolization for a peripheral pulmonary artery aneurysm with preservation of distal pulmonary artery circulation. Airway management of ruptured pulmonary artery rasmussen. This case confirms that little or moderate hemoptysis does not require aggressive treatment of pap. The child described in the case report had a restrictive cardiomyopathy, complicated by pulmonary hypertension, in association with miliary tuberculosis. Rasmussens aneurysm is an uncommon severe complication of pulmonary tuberculosis, with a prevalence of less than 5%. I present a case of an inflammatory pulmonary aneurysm rasmussen aneurysm from active pulmonary tuberculosis. As with any aneurysm, a rasmussens aneurysm is at increased risk of rupture and bleeding into. Rasmussen aneurysm not to be confused with rasmussen encephalitis is an uncommon complication of pulmonary tuberculosis and represents a pulmonary. Rasmussens aneurysm is a rare and often missed cause of hemoptysis in patients with tubercular lung cavities. Rasmussen aneurysm ak singh1, varun gupta 2, bindu rani, manish kumar2, saurabh kaushik3 introduction r asmussen s aneurysm is a pulmonary artery aneurysm adjacent or within a tuberculous cavity. Hemoptysis is a common complication of the disease. Pap is well reported in chronic tuberculosis, but it can complicate other lung infections. Ct pulmonary angiography is the best investigation to confirm their existence and should be done in patients with recurrent hemoptysis, especially if it happens after bronchial arteries have been successfully embolized.
Rasmussens aneurysm is an inflammatory pseudoaneurysm of pulmonary artery adjacent to a tubercular cavity that can gradually weaken the adjacent pulmonary arterial wall. Rasmussens aneurysm is a pulmonary artery aneurysm associated with a cavitary lung lesion. Welcome to journal of the association of physicians of india. Aneurysms are a result of a weakened blood vessel wall, and may be a result of a hereditary condition or an acquired disease.