Large aspergilloma cavity treated by Cavernostomy and ometal, muscle flaps: A case report / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 936-940, 1997.
Article
in English
| WPRIM
| ID: wpr-198994
ABSTRACT
Pulmonary aspergilloma is potentially a life threatening disease resulting from the colonization of lung cavities by Aspergillus fumigatus. A case is reported a 43-year-old man with symtomatic cavitary aspergilloma presenting with severe productive coughing, hemoptysis, occasional fever, and chilling. On preoperative plain chest radiograph and CT scan, we could find a rounded irregular opacity in a large pulmonary cavity. He received 2 separate operations for therapeutic need. At the first opertion, we performed cavernostomy and thoracoplasty because of severe pleural adhesions, tearing of cavity wall, and high risk of respiratory insufficiency. At the second operation, we performed myoplasty and omentoplasty for closure of remaining air space and complete wrapping of the BPF site. All symptoms of dyspnea and hemoptysis have since resolved. We believed that in the high risk patients who have severe respiratory symptoms, such as in aspergilloma and open cavity with a risk of respiratory insufficiency, cavernostomy followed by myoplasty or omentoplasty should be recommended.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aspergillus fumigatus
/
Respiratory Insufficiency
/
Surgical Flaps
/
Thoracoplasty
/
Radiography, Thoracic
/
Tomography, X-Ray Computed
/
Colon
/
Cough
/
Dyspnea
/
Pulmonary Aspergillosis
Limits:
Adult
/
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
1997
Type:
Article
Similar
MEDLINE
...
LILACS
LIS