Images in Clinical Medicine
Rasmussen's Aneurysm
N Engl J Med 2006; 355:e17October 19, 2006
- Article
A 54-year-old man presented with a 3-month history of hemoptysis of approximately 50 ml per day. He had a remote history of pulmonary tuberculosis. On the second hospital day, he had an episode of massive hemoptysis. Dynamic and three-dimensional views of the pulmonary and bronchial vasculature on computed tomography obtained after the injection of contrast material demonstrated a large pulmonary aneurysm (Panels A and B, arrows). The patient underwent successful embolization of the pulmonary-artery aneurysm and its feeding vessel. However, the hemoptysis resolved only after subsequent embolization of the bronchial artery.
Michel M. van den Heuvel, M.D., Ph.D.
Jacques J. van Rensburg, M.D.
University of Stellenbosch, Cape Town 7505, South Africa
heuvel@sun.ac. za
