Korean J Thorac Cardiovasc Surg.  1997 Sep;30(9):936-940.

Large aspergilloma cavity treated by Cavernostomy and ometal, muscle flaps: A case report

• Bang JH
• Pyun SH
• Seo JW
• Choi PJ
• Woo JS

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.

Keyword

Aspergillosis, lung; Omentoplasty; Surgical flap

MeSH Terms

Adult
Aspergillus fumigatus
Colon
Cough
Dyspnea
Fever
Hemoptysis
Humans
Lung
Pulmonary Aspergillosis
Radiography, Thoracic
Respiratory Insufficiency
Surgical Flaps
Thoracoplasty
Tomography, X-Ray Computed