Skip to main content
Log in

Massive hemoptysis due to Rasmussen aneurysm: detection with helicoidal CT angiography and successful steel coil embolization

  • Brief Report
  • Published:
Intensive Care Medicine Aims and scope Submit manuscript



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.


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.


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.


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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2. a


  1. Middleton JR, Sen P, Lange M, Salaki J, Kapila R, Louria DB (1977) Death-producing hemoptysis in tuberculosis. Chest 72:601–604

    CAS  PubMed  Google Scholar 

  2. Teklu B, Felleke G (1982) Massive hemoptysis in tuberculosis. Tubercle 63:213–216

    CAS  PubMed  Google Scholar 

  3. Ong TH, Eng P (2003) Massive hemoptysis requiring intensive care. Intensive Care Med 29:317–320

    PubMed  Google Scholar 

  4. Conlan AA, Hurwitz SS, Krige L, Nicolaou N, Pool R (1983) Massive hemoptysis. Rewiew of 123 cases. J Thorac Cardiovasc Surg 85:120–124

    CAS  PubMed  Google Scholar 

  5. McCollun WB, Mattox KL, Guinn GA, Beall AC (1975) Immediate operative treatment for massive hemoptysis. Chest 67:152–155

    CAS  PubMed  Google Scholar 

  6. Ramakantan R, Bandekar VG, Gandhi MS, Aulakh BG, Deshmukh HL (1996) Massive hemoptysis due to pulmonary tuberculosis: control with bronchial artery embolization. Radiology 200:691–694

    CAS  PubMed  Google Scholar 

  7. Auerbach O (1939) Pathology and pathogenesis of pulmonary arterial aneurysm in tuberculous cavities. Am Rev Tuber 39:99–115

    Google Scholar 

  8. Remy-Jardin M, Wattinne L, Remy J (1991) Transcatheter occlusion of pulmonary arterial circulation and collateral supply: failures, incidents and complications. Radiology 180:699–705

    CAS  PubMed  Google Scholar 

  9. Sanyika C, Corr P, Royston D, Blyth DF (1999) Pulmonary angiography and embolization for severe hemoptysis due to cavitary pulmonary tuberculosis. Cardiovasc Intervent Radiol 22:457–460

    Article  CAS  PubMed  Google Scholar 

  10. Remy J, Lemaitre L, Lafitte JJ, Vilain MO, Saint Michel J, Steenhouwer F (1984) Massive hemoptysis of pulmonary arterial origin: diagnosis and treatment. AJR 143:963–969

    CAS  Google Scholar 

  11. Patankar T, Prasad S, Deshmukh H, Mukherji SK (2000) Fatal hemoptysis caused by ruptured giant Rasmussen's aneurysm. AJR 174:262–263

    CAS  Google Scholar 

  12. Santelli ED, Katz DS, Goldschmidt AM, Thomas HA (1994) Embolization of multiple Rasmussen aneurysms as a treatment of hemoptysis. Radiology 193:396–398

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Antoine Parrot.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Picard, C., Parrot, A., Boussaud, V. et al. Massive hemoptysis due to Rasmussen aneurysm: detection with helicoidal CT angiography and successful steel coil embolization. Intensive Care Med 29, 1837–1839 (2003).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: