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Journal of Cardiovascular Medicine and Surgery

Volume  11, Issue 1, January-April 2025, Pages 25-29
 

Case Report

Bronchial and Pulmonary Artery Embolization for Massive Haemoptysis with Rasmussen Aneurysm

Naveen Kumar

Consultant, Department of Interventional Radiology & Endovascular Surgery, Naruvi Hospitals, Vellore, Tamil Nadu, India.
 

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DOI: 10.21088/jcms.2454.7123.103424.4

Abstract

Massive haemoptysis remains a serious clinical emergency, often requiring urgent intervention to control bleeding. Rasmussen aneurysm, a rare vascular complication associated with chronic infections such as tuberculosis, is one of the causes of massive haemoptysis. Bronchial and pulmonary artery embolization have emerged as effective therapeutic strategies for controlling such haemorrhages. A 55-year-old male with a history of treated pulmonary tuberculosis presented with sudden onset of massive haemoptysis. Imaging studies revealed a Rasmussen aneurysm arising from a pulmonary artery branch. Bronchial artery embolization was first performed to control bleeding from the bronchial arteries, followed by pulmonary artery embolization to address the pseudoaneurysm. The patient showed immediate cessation of haemoptysis following embolization, with stabilization of his hemodynamic status. Post-procedure imaging confirmed the successful occlusion of the bleeding vessels. This case report discusses the role of embolization in massive haemoptysis with Rasmussen aneurysm.
 


Keywords : • Massive haemoptysis • Rasmussen aneurysm • Bronchial artery embolization • Pulmonary artery embolization • Interventional radiology
Corresponding Author : Naveen Kumar