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KMID : 1141320210360020136
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Kosin Medical Journal
2021 Volume.36 No. 2 p.136 ~ p.143
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Rasmussen’s Aneurysm, Rare yet Acknowledged Cause of Massive Hemoptysis: Retrospective Review of 16 Cases
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Chung Seung-Woo
Heo I-Re
Kim Tae-Hoon
Ju Sun-Mi
Yoo Jung-Wan
Lee Seung-Jun
Cho Yu-Ji
Park Sung-Un
Jeon Kyung-Nyeo
Kim Ho-Cheol
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Abstract
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Objectives: Rasmussen’s aneurysm may cause life-threatening hemoptysis. We investigated the clinical characteristics and outcomes of patients with hemoptysis and Rasmussen’s aneurysm.
Methods: We retrospectively investigated patients who clinically presented with hemoptysis and were diagnosed with a Rasmussen’s aneurysm on spiral chest computed tomography (CT).
Results: Our study included 16 patients (men:women, 12:4; mean age, 65.25 ± 13.0 years). Massive hemoptysis was observed in nine patients (56%) and blood-tinged sputum in four patients (25%). Ten patients (62.5%) had a history of pulmonary tuberculosis, and three patients (18.7%) had underlying lung cancer. Chest CT revealed coexisting fungal balls in seven patients (43.7%). Bronchial artery embolization (BAE) was performed in 12 patients (75%). One patient died of uncontrolled massive hemoptysis.
Conclusions: Patients with Rasmussen’s aneurysm showed hemoptysis during the course of the disease; however, bleeding can be controlled with conservative therapy and radiological interventions, such as BAE.
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KEYWORD
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Embolization, Hemoptysis, Rasmussen’s aneurysm
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