日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
症例報告
塞栓術を行ったRasmussen動脈瘤の2例
安座間 喜明蓮尾 金博岡藤 孝史中山 智博鎌野 宏礼江上 順子染原 涼高津 憲之和田 達矢小林 信之前田 浩喜
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ジャーナル 認証あり

2012 年 27 巻 3 号 p. 313-316

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抄録
Rasmussen aneurysm is defined as a pseudoaneurysm resulting from erosion of the pulmonary artery at the tuberculous cavity. We present two patients with a Rasmussen aneurysm who presented massive hemoptysis. In one patient, an aneurysm was detected by pulmonary computed tomographic angiography, and the pulmonary artery proximal to the aneurysm was embolized using microcoils. Hemoptysis resolved after embolization and there was no recurrence. In another patient, the aneurysm was detected by arteriography. The pulmonary artery was embolized with a microcoil, and systemic collateral arteries were embolized using polyvinyl alcohol and gelatine sponge particles. Hemoptysis recurred one week after, but there was no recurrence of the aneurysm. Transcatheter embolization seems a safe and effective method for treatment of Rasmussen aneurysm.
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