Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario
Background: Hemoptysis is defined as coughing out of blood. Pulmonary tuberculosis is the most common cause of hemoptysis in tuberculosis-endemic countries like India. Rasmussen aneurysm is a pseudoaneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Chest radiogra...
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Vilnius University Press
2024-06-01
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Series: | Acta Medica Lituanica |
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Online Access: | https://www.zurnalai.vu.lt/AML/article/view/34286 |
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author | Shritik Devkota Harish Bhujade Abhiman Baloji Nidhi Prabhakar Atul Saroch Ujjwal Gorsi |
author_facet | Shritik Devkota Harish Bhujade Abhiman Baloji Nidhi Prabhakar Atul Saroch Ujjwal Gorsi |
author_sort | Shritik Devkota |
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Background: Hemoptysis is defined as coughing out of blood. Pulmonary tuberculosis is the most common cause of hemoptysis in tuberculosis-endemic countries like India. Rasmussen aneurysm is a pseudoaneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Chest radiographs, chest computed tomography angiography (CTA), and digital subtraction angiography (DSA) are the imaging tools for evaluating a case of hemoptysis.Case: A 32-year-old man with a history of pulmonary tuberculosis presented with complaints of recurrent hemoptysis. On imaging evaluation, multiple pulmonary artery pseudoaneurysms were seen in the left lung. The patient was shifted to the DSA lab and the pseudoaneurysms were subsequently treated by endovascular coil embolization. Hemoptysis resolved following the procedure and the patient was again started on anti-tubercular therapy.Conclusion: Endovascular coiling is minimally invasive, safe, and effective management of multiple Rasmussen aneurysms for preventing possible torrential blood loss and unfortunate death.
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format | Article |
id | doaj-art-3287ff291caf4706bcd3423ff3099fca |
institution | Kabale University |
issn | 1392-0138 2029-4174 |
language | English |
publishDate | 2024-06-01 |
publisher | Vilnius University Press |
record_format | Article |
series | Acta Medica Lituanica |
spelling | doaj-art-3287ff291caf4706bcd3423ff3099fca2025-02-11T18:08:37ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-06-0131110.15388/Amed.2024.31.1.25Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case ScenarioShritik Devkota0https://orcid.org/0000-0001-5051-2037Harish Bhujade1Abhiman Baloji2https://orcid.org/0000-0002-3369-6409Nidhi Prabhakar3Atul Saroch4https://orcid.org/0000-0001-9723-6500Ujjwal Gorsi5Post Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, IndiaPost Graduate Institute of Medical Education and Research, India Background: Hemoptysis is defined as coughing out of blood. Pulmonary tuberculosis is the most common cause of hemoptysis in tuberculosis-endemic countries like India. Rasmussen aneurysm is a pseudoaneurysm arising from the pulmonary artery adjacent to or within a tuberculous cavity. Chest radiographs, chest computed tomography angiography (CTA), and digital subtraction angiography (DSA) are the imaging tools for evaluating a case of hemoptysis.Case: A 32-year-old man with a history of pulmonary tuberculosis presented with complaints of recurrent hemoptysis. On imaging evaluation, multiple pulmonary artery pseudoaneurysms were seen in the left lung. The patient was shifted to the DSA lab and the pseudoaneurysms were subsequently treated by endovascular coil embolization. Hemoptysis resolved following the procedure and the patient was again started on anti-tubercular therapy.Conclusion: Endovascular coiling is minimally invasive, safe, and effective management of multiple Rasmussen aneurysms for preventing possible torrential blood loss and unfortunate death. https://www.zurnalai.vu.lt/AML/article/view/34286Rasmussen aneurysmpulmonary tuberculosispulmonary artery pseudoaneurysmcoil embolization |
spellingShingle | Shritik Devkota Harish Bhujade Abhiman Baloji Nidhi Prabhakar Atul Saroch Ujjwal Gorsi Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario Acta Medica Lituanica Rasmussen aneurysm pulmonary tuberculosis pulmonary artery pseudoaneurysm coil embolization |
title | Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario |
title_full | Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario |
title_fullStr | Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario |
title_full_unstemmed | Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario |
title_short | Successful Endovascular Management of Recurrent Hemoptysis due to Multiple Rasmussen Aneurysms in a Case of Pulmonary Tuberculosis: A Rare Case Scenario |
title_sort | successful endovascular management of recurrent hemoptysis due to multiple rasmussen aneurysms in a case of pulmonary tuberculosis a rare case scenario |
topic | Rasmussen aneurysm pulmonary tuberculosis pulmonary artery pseudoaneurysm coil embolization |
url | https://www.zurnalai.vu.lt/AML/article/view/34286 |
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