Pulmonary Aspergilloma Treated by one Stage Cavernostomy and Myoplasty.
- Author:
Hyun Sung AHN
1
;
Eung Joong KIM
;
Yoon Cheol SHIN
;
Hyun Keun CHEE
;
Kwang Min CHOI
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Kangdong Sacred Heart Hospital, Hallym Univ., Korea.
- Publication Type:Case Report
- Keywords:
Aspergilloma;
Muscle transplantation;
Cavitation
- MeSH:
Aspergillus;
Hemoptysis;
Humans;
Male;
Middle Aged;
Pleura;
Recurrence;
Thorax;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(9):729-732
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 49-year-old male patient was admitted with chief complaint of hemoptysis. Preoperative chest PA and CT scan revealed air-filled large cavitary lesion at the right upper lobe with typical meniscus sign. Serum anti-fungus antibody for Aspergillus was positive and he was diagnosed as aspergilloma. We planned RULobectomy but it was impossible due to severe pleural adhesion in apex and mediastinal pleura. Therefore, we performed a cavernostomy and serratus anterior muscle flap transposition in one stage. The patient recovered without complication and was followed up for 8 months without recurrence of hemoptysis.