Life-Threatening Hemoptysis Secondary to Rasmussen's Aneurysm in an HIV Patient

Oriol, Ana Jaureguízar; Carbonero, Ana María Ayala; Sarasúa, Luis Gorospe

doi:10.1016/j.arbr.2016.06.007

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…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 . Urgent angiographic embolization or surgical resection is required for the management of major bleeding.…”

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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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 novel angiographic classification of pseudoaneurysms of the pulmonary chronic inflammatory cavity based on selective angiograms and therapeutic implications

Chen¹,

Zhang²,

Huang³

et al. 2022

J Thorac Dis

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Background: Hemoptysis is a common clinical symptom. In the chronic tuberculosis cavity and chronic necrotizing pneumonia cavity, pseudoaneurysms (Pas) easily form and are prone to massive hemoptysis and repeated hemoptysis and can even endanger patient's life. However, it remains to be further analyzed whether Pas of the pulmonary chronic inflammatory cavity selectively affect the peripheral pulmonary branches. This study is based on selective angiography to classify peripheral pulmonary arterial Pas (PAPs) of the pulmonary chronic inflammatory cavity and to determine treatment options for PAPs, thereby guiding individualized clinical treatment. Methods: Angiographic data of 392 noncancer patients undergoing hemoptysis were retrospectively analyzed. All of the patients underwent pulmonary and selective pulmonary angiography and bronchial and nonbronchial systemic collateral arterial angiography. A total of 9 patients had Pas of the pulmonary chronic inflammatory cavity, and a pseudoaneurysm systemic artery collateral (Pasac), inflow and outflow sections of the parent vessels, and direction of blood flow in the parent vessels were clearly observed with digital subtraction angiography (DSA) and/or C-arm cone-beam flat-panel detector computed tomography angiography (CBCTA). Patients with underlying disease had pulmonary tuberculosis (n=8) or lung abscess (n=1). The angiographic types of Pas were analyzed. Results: Eight patients with chronic pulmonary tuberculosis and 1 patient with a necrotizing pneumonia cavity in the convalescent period were included in the study. Pas of the pulmonary chronic inflammatory cavity presented the following types: (I) pulmonary artery pseudoaneurysm (PAPa) (n=2 cases); (II) body arterial Pa (n=3 cases); and (III) systemic-pulmonary anastomosis Pa. Each type could be divided into two subtypes (n=4 cases). In nine cases, embolization and hemostasis were technically and clinically successful. Conclusions: Pas of the pulmonary chronic inflammatory cavity are diverse (especially in cases of pulmonary tuberculosis). Angiographic typing plays a guiding role in the selection of an embolization strategy.

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Life-Threatening Hemoptysis Secondary to Rasmussen's Aneurysm in an HIV Patient

Cited by 2 publications

References 5 publications

Ambiguous presentation of Mycobacterium avium complex‐associated Rasmussen aneurysm

Ambiguous presentation of Mycobacterium avium complex‐associated Rasmussen aneurysm

A novel angiographic classification of pseudoaneurysms of the pulmonary chronic inflammatory cavity based on selective angiograms and therapeutic implications

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