HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Battaglini, J. W. Articles by Wilcox, B. R. Search for Related Content PubMed PubMed Citation Articles by Battaglini, J. W. Articles by Wilcox, B. R.

The Annals of Thoracic Surgery, Vol 39, 512-516, Copyright © 1985 by The Society of Thoracic Surgeons

ARTICLES

Surgical management of symptomatic pulmonary aspergilloma

JW Battaglini, GF Murray, BA Keagy, PJ Starek and BR Wilcox

Pulmonary aspergilloma is a potentially life-threatening disease resulting from the colonization of lung cavities by the ubiquitous fungus Aspergillus fumigatus. Complex aspergilloma, characterized by thick-walled cavities with surrounding parenchymal inflammation, is a risk factor for increased morbidity and mortality. Fifteen patients with symptomatic aspergilloma underwent major thoracic procedures at North Carolina Memorial Hospital between January 1, 1972, and December 31, 1983. Twelve of the patients had hemoptysis; in 7 it was recurrent and in 5, life threatening. Tuberculosis and sarcoidosis were the most common underlying causes of lung disease, and more than half of the patients had other coexistent serious medical illness. Eleven of the 15 patients were seen with complex aspergilloma; all of the 4 major complications and the 2 deaths occurred in these patients. Bronchopleural fistula with persistent air space was the most common serious complication, and required thoracoplasty in 3 patients. Nine patients, including 5 with complex aspergilloma, had no postoperative complications, and there were no recurrent symptoms in any of the 13 operative survivors over a mean follow-up of five years. It is concluded that aggressive pulmonary resection can provide effective long-term palliation in critically ill patients with symptomatic pulmonary aspergilloma.

This article has been cited by other articles:

				A. Brik, A. M. Salem, A. R. Kamal, M. Abdel-Sadek, M. Essa, M. El Sharawy, A. Deebes, and K. A. Bary Surgical outcome of pulmonary aspergilloma Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 882 - 885. [Abstract] [Full Text] [PDF]

				A. Demir, M. Z Gunluoglu, A. Turna, H. V Kara, and S. I Dincer Analysis of Surgical Treatment for Pulmonary Aspergilloma Asian Cardiovasc Thorac Ann, October 1, 2006; 14(5): 407 - 411. [Abstract] [Full Text] [PDF]

				C. Gebitekin, A. S. Bayram, and S. Akin Complex pulmonary aspergilloma treated with single stage cavernostomy and myoplasty Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 737 - 740. [Abstract] [Full Text] [PDF]

				I. C Kurul, S. Demircan, U. Yazici, T. Altinok, S. Topcu, and M. Unlu Surgical Management of Pulmonary Aspergilloma Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 320 - 323. [Abstract] [Full Text] [PDF]

				A. K. Greenberg, J. Knapp, W. N. Rom, and D. J. Addrizzo-Harris Clinical Presentation of Pulmonary Mycetoma in HIV-Infected Patients* Chest, September 1, 2002; 122(3): 886 - 892. [Abstract] [Full Text] [PDF]

				C. K. Park and S. Jheon Results of surgical treatment for pulmonary aspergilloma Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 918 - 923. [Abstract] [Full Text] [PDF]

				D. Hadjiliadis, T. A. Sporn, J. R. Perfect, V. F. Tapson, R. D. Davis, and S. M. Palmer Outcome of Lung Transplantation in Patients With Mycetomas Chest, January 1, 2002; 121(1): 128 - 134. [Abstract] [Full Text] [PDF]

				S. Endo, Y. Sohara, F. Murayama, T. Yamaguchi, T. Hasegawa, K. Tezuka, and S.-i. Yamamoto Surgical outcome of pulmonary resection in chronic necrotizing pulmonary aspergillosis Ann. Thorac. Surg., September 1, 2001; 72(3): 889 - 893. [Abstract] [Full Text] [PDF]

				G. Babatasi, M. Massetti, A. Chapelier, E. Fadel, P. Macchiarini, A. Khayat, and P. Dartevelle Surgical treatment of pulmonary aspergilloma: Current outcome J. Thorac. Cardiovasc. Surg., May 1, 2000; 119(5): 906 - 912. [Abstract] [Full Text] [PDF]

				J.-F. Regnard, P. Icard, M. Nicolosi, L. Spagiarri, P. Magdeleinat, B. Jauffret, and P. Levasseur Aspergilloma: a series of 89 surgical cases Ann. Thorac. Surg., March 1, 2000; 69(3): 898 - 903. [Abstract] [Full Text] [PDF]

				J. M. Habicht, F. Reichenberger, A. Gratwohl, H.-R. Zerkowski, and M. Tamm Surgical aspects of resection for suspected invasive pulmonary fungal infection in neutropenic patients Ann. Thorac. Surg., August 1, 1999; 68(2): 321 - 325. [Abstract] [Full Text] [PDF]

				A. Bernard, D. Caillot, J. F. Couaillier, O. Casasnovas, H. Guy, and J. P. Favre Surgical Management of Invasive Pulmonary Aspergillosis in Neutropenic Patients Ann. Thorac. Surg., November 1, 1997; 64(5): 1441 - 1447. [Abstract] [Full Text]

				C. E. Reed Pneumonectomy for Chronic Infection: Fraught With Danger? Ann. Thorac. Surg., February 1, 1995; 59(2): 408 - 411. [Abstract] [Full Text]