Vascular Plugs—Novel Therapeutic Management of Hemoptysis Secondary to Ruptured Rasmussen’s Aneurysm?

Hemoptysis from ruptured Rasmussen’s aneurysms is a not an uncommon source of bleeding (5-10%) in patients with active or previous tuberculosis. Previous reports describe the use of coils, glue, covered stents, and detachable balloons as part of the endovascular management of Rassmusen’s aneurysms. Although vascular plugs have been used in the management of other pulmonary aneurysms and pulmonary arteriovenous malformations, its use within the inflammatory milieu as well as architectural lung parenchymal changes of tuberculosis has not been reported. We report and describe, to our knowledge, the first case of successful management of a Rasmussen’s aneurysm with a vascular plug with good success.