A CASE OF PULMONARY ASPERGILLOSIS WITH BRONCHIAL ARTERY-PULMONARY ARTERY SHUNT

We report a case of pulmonary aspergillosis which had not preoperatively been diagnosed for nearly 2 years after the onset of symptom. A 51-year-old woman was seen at the hospital because of hemoptysis in July 2001, when chest x-ray showed infiltrative shadow in the right lower lung field, but no bl...

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Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 65; no. 11; pp. 2889 - 2893
Main Authors TSUSHIMA, Yukio, MASUDA, Kozo, HIGASHI, Hisato, YAMAGATA, Seiichi, SHIDA, Haruhiko
Format Journal Article
LanguageEnglish
Published Japan Surgical Association 25.11.2004
Subjects
bronchial artery-pulmonary artery shunt
hemoptysis
pulmonary aspergillosis
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Summary:We report a case of pulmonary aspergillosis which had not preoperatively been diagnosed for nearly 2 years after the onset of symptom. A 51-year-old woman was seen at the hospital because of hemoptysis in July 2001, when chest x-ray showed infiltrative shadow in the right lower lung field, but no bleeding site was identified by bronchoscopy. In February 2002, bronchoscopy for second episode of hemoptysis also provided no helpful information on bleeding site. In April 2002, the patient developed third hemoptysis and was admitted to the hospital for close exploration and treatment. Before operation, bronchial arteriography and pulmonary arteriography visualized bronchial arterypulmonary artery shunt. Hemoptysis caused by the bronchial artery-pulmonary artery shunt was diagnosed and a right basal segmentectomy was performed to control hemoptysis on June 3, 2002. Hemoptysis ceased thereafter. Pathological diagnosis was pulmonary aspergillosis, which was thought to have been the direct cause of repeated hemoptysis.
ISSN:1345-2843
1882-5133
DOI:10.3919/jjsa.65.2889