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Search took: 0. Rasmussen aneurysm - a case report in a child and review of the literature. Abstract Abstract. The patient underwent radiological, tomographic and angiographic assessments.
The pathogenesis of the aneurysm was related to the erosion of a pulmonary artery branch with replacement of the adventitia and media layers by granulation tissue, due to an adjacent tuberculous cavity. A plain chest x-ray showed bilateral nodular opacities, largest on the right lung, which enhanced simultaneously with the mediastinal vessels on CT. Its vascular nature was confirmed by angiographic studies. Aneurisma de Rasmussen - relato de um caso em crianca e revisao da literatura. Country of publication.
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Rasmussen's aneurysm: A rare and forgotten cause of hemoptysis
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. Hemoptysis is the usual presenting symptom and may be life-threatening when it is massive. A weakening of the pulmonary artery wall from adjacent cavitary tuberculosis is the cause of this condition: there is a progressive weakening of the arterial wall as granulation tissue replaces both the adventitia and the media. This is then gradually replaced by fibrin, resulting in thinning of the arterial wall, pseudoaneurysm formation, and subsequent rupture with hemorrhage. Usually distributed peripherally and beyond the branches of the main pulmonary arteries 2. CT pulmonary angiography is the investigation of choice 4. Often seen on contrasted chest images as a focal dilatation of one of the pulmonary segmentary arteries adjacent to tuberculous parenchymal change or a chronic tuberculous cavity.
Hemoptysis as a sequelae of past tubercular infection of lungs is a known occurrence. Hemoptysis in such a patient can result from a number of etiologies like tubercular reactivation, bronchiectasis, aspergiloma and vascular complications like hypervascularity from bronchial arteries, arteriovenous fistula formation, pseudoaneurysms, etc. Massive hemoptysis in such a patient is usually treated by bronchial artery embolization and occasionally by surgical lobectomy. A rare source of bleeding in such a patient is from Rasmussen's aneurysm arising from the pulmonary arteries. We report a young patient of treated pulmonary tuberculosis who had recurrent hemoptysis. He was treated earlier with bronchial artery embolization.
Archivos de Bronconeumologia http: www. Other types of articles such as reviews, editorials, special articles, clinical reports, and letters to the Editor are also published in the Journal. It is a monthly Journal that publishes a total of 12 issues, which contain these types of articles to different extents. All manuscripts are sent to peer-review and handled by the Editor or an Associate Editor from the team. The Journal is published both in Spanish and English.