Document Detail


Massive hemoptysis due to Rasmussen aneurysm: detection with helicoidal CT angiography and successful steel coil embolization.
MedLine Citation:
PMID:  13680121     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present the successful management of two cases of massive hemoptysis related to pulmonary aneurysms in patients with active tuberculosis. DESIGN AND SETTING: Retrospective study in the respiratory intensive care unit (ICU) of a university hospital. PATIENTS: Between July 1996 and January 2002, 46 cases of hemoptysis related to active tuberculosis needed ICU admission. In two cases, pulmonary aneurysm was the source of bleeding. RESULTS: Diagnosis was suspected on enhanced CT scan and confirmed by pulmonary angiograms. Transcatheter occlusion of pulmonary arterial circulation was successful. Both patients were alive at 1-year follow-up. CONCLUSIONS: Massive hemoptysis occurring in patients with active tuberculosis could arise from pulmonary aneurysms. In such cases, bronchial artery embolization is ineffective. Before referring those patients for emergency surgery, an alternative strategy using angiographic study and transcatheter occlusion of pulmonary arterial circulation might be of interest.
Authors:
Clément Picard; Antoine Parrot; Véronique Boussaud; Armelle Lavolé; Faycal Saidi; Charles Mayaud; Marie France Carette
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-09-13
Journal Detail:
Title:  Intensive care medicine     Volume:  29     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-17     Completed Date:  2004-05-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1837-9     Citation Subset:  IM    
Affiliation:
Service de Réanimation Respiratoire et de Pneumologie, Hôpital Tenon, 4 rue de la Chine, 75020 Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography / methods
Embolization, Therapeutic* / instrumentation
Hemoptysis / etiology,  therapy*
Humans
Intracranial Aneurysm / complications,  radiography*,  therapy*
Male
Middle Aged
Remission Induction
Retrospective Studies
Steel
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
12597-69-2/Steel

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