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Asian Cardiovasc Thorac Ann 2006;14:407-411
© 2006 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Analysis of Surgical Treatment for Pulmonary Aspergilloma

Adalet Demir, MD, Mehmet Z Gunluoglu, MD, Akif Turna, MD, Hasan V Kara, MD, Seyyit I Dincer, MD

Department of Thoracic Surgery, Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Istanbul, Turkey

For reprint information contact: Adalet Demir, MD Tel: 90 212 664 1700 Fax: 90 212 547 2233 Email: dradalet{at}hotmail.com, Yuzyil mah. Kisla Cad. Yesil zengibar sitesi, A-3 Blok, D-9 Bagcilar, Istanbul, Turkey.

Surgery for pulmonary aspergilloma is reputed to be risky. The results of surgical treatment of pulmonary aspergilloma in 41 patients between 1988 and 2003 were evaluated retrospectively. Hemoptysis occurred in 31 patients (75.6%) and it was massive (> 300 mL in 24 hr) in 3. The underlying lung disease was tuberculosis in 35, bullous lung disease in 2, hydatid cyst in 2, and lung carcinoma in 2 patients. Lobectomy, bilobectomy, wedge resection, and pneumonectomy were performed in 27, 4, 6, and 4 patients respectively. The postoperative complication rate was 24.4%. One patient, who had a right pneumonectomy, died due to respiratory failure; the mortality rate was 2.4%. Recurrent hemoptysis was observed in only one patient. Early surgical treatment of patients with pulmonary aspergilloma resulted in a satisfactory outcome with acceptable morbidity, low mortality, and effective prevention of recurrent hemoptysis. Pneumonectomy has a high morbidity, thus it should be avoided if possible.






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