Pulmonary Aspergilloma Treated by Limited Thoracoplasty with Simultaneous Cavernostomy and Muscle Transposition Flap
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- Igai Hitoshi
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
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- Kamiyoshihara Mitsuhiro
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
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- Nagshima Toshiteru
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
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- Ohtaki Yoichi
- Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan
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We describe the successful treatment of pulmonary aspergilloma by limited thoracoplasty used simultaneously with single-stage cavernostomy and a muscle transposition flap. An 80-year-old man with dyspnea on effort and hemoptysis consulted our hospital. Chest computed tomography revealed a thick wall cavity containing a fungus ball surrounded by a crescent of air and diseased lung parenchyma, indicating complex pulmonary aspergilloma (CPA). As curative pulmonary resection was considered too invasive for this patient, limited thoracoplasty with simultaneous single-stage cavernostomy and myoplasty was performed as an alternative treatment. During the operation, transposition flap of the latissimus dorsi muscle was created by preserving the feeding artery. Fungus, in the ball that was removed, proved to be aspergilloma by culture and histopathological examination. On postoperative day 15, the patient was discharged uneventfully, and 4 months after surgery, no relapse of the aspergilloma has been observed.<br>We consider that limited thoracoplasty with simultaneous single-stage cavernostomy and a muscle transposition flap is effective for treatment of high-risk CPA.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 18 (5), 472-474, 2012
Annals of Thoracic and Cardiovascular Surgery 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390001204727599360
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- NII論文ID
- 10031120934
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- NII書誌ID
- AA11035352
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- COI
- 1:STN:280:DC%2BC38vpsVWktA%3D%3D
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- ISSN
- 21861005
- 13411098
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- PubMed
- 22446949
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可