EMBOLIZATION OF MULTIPLE RASMUSSEN ANEURYSMS AS A TREATMENT OF HEMOPTYSIS

A 40-year-old man with a history of tuberculosis developed massive hem optysis. Embolization of a bronchial artery branch did not resolve the bleeding. Selective angiography eventually revealed three pseudoaneur ysms arising from an apical segmental branch of the right pulmonary ar tery, two of which were successfully embolized with coils. The patient 's hemoptysis resolved within 48 hours. Although most patients with he moptysis and active tuberculosis bleed from the bronchial circulation, the pulmonary arterial circulation should be immediately evaluated if the bronchial angiogram is normal. Coil embolization is a safe and ef fective means of treating these pseudoaneurysms.