Rasmussen aneurysm refers to the aneurysmal dilatation of a pulmonary arterial branch adjacent to a cavitatory lesion caused by tuberculosis (TB). It is a rare occurrence and is predominantly treated using endovascular techniques. Here, we present a case of Rasmussen aneurysm involving the left pulmonary artery, which was surgically managed on an emergent basis, with a successful outcome. Upon conducting an English literature search, using Google Scholar and PubMed database with MeSH words "rasmussen aneurysm," "main pulmonary artery AND aneurysm AND Rasmussen," "massive hemoptysis tuberculosis," pulmonary artery aneurysm AND tuberculosis, we found no other case reports of Rasmussen aneurysm originating from such a central vascular location.