Endovascular embolization with EVOH for the treatment of a Rasmussen aneurysm.
EVOH
Rasmussen
endovascular embolization
pulmonary artery aneurysm (PAA)
pulmonary artery pseudoaneurysm (PAPA)
Journal
Journal of radiology case reports
ISSN: 1943-0922
Titre abrégé: J Radiol Case Rep
Pays: United States
ID NLM: 101494925
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
medline:
4
9
2023
pubmed:
1
9
2023
entrez:
1
9
2023
Statut:
epublish
Résumé
First-line treatment of pulmonary artery aneurysms/pseudoaneurysms (PAA/PAPA) is percutaneous or endovascular embolization. The present case of a Rasmussen aneurysm, a PAPA caused by Tuberculosis (TB), was successfully treated with ethylene-vinyl alcohol (EVOH), a radiopaque liquid embolic agent with favorable characteristics. A 35-year-old man presented as a new patient with hemoptysis, and CT imaging revealed multiple cavitary lesions and a 2.1 cm aneurysm in the upper right lobe. Endovascular treatment was delivered and a complete lack of filling of the lesion was noted on post-treatment angiography. The patient's history includes risk factors and past TB infection. Despite the suspicious imaging, diagnostic tests were negative for active TB in this patient. He was then found to have MRSA bacteremia and a mediastinal lymph node positive for M. avium. The etiology of this aneurysm is suspicious for the superinfection of a chronic tuberculous cavity with M. avium, MRSA, or both.
Identifiants
pubmed: 37654897
doi: 10.3941/jrcr.v17i8.4687
pii: jrcr-17-8-8
pmc: PMC10435256
doi:
Substances chimiques
Contrast Media
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
8-14Informations de copyright
Copyright Journal of Radiology Case Reports.
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