Korean J Thorac Cardiovasc Surg.  2001 Sep;34(9):729-732.

Pulmonary Aspergilloma Treated by one Stage Cavernostomy and Myoplasty

• Ahn HS
• Kim EJ
• Shin YC
• Chee HK
• Choi KM

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.

Keyword

Aspergilloma; Muscle transplantation; Cavitation

MeSH Terms

Aspergillus
Hemoptysis
Humans
Male
Middle Aged
Pleura
Recurrence
Thorax
Tomography, X-Ray Computed