Simplified Cavernostomy Using Wound Protector for Complex Pulmonary Aspergilloma

A 64-year-old man presented with dyspnea, chest pain, cough, expectoration, and continuous low-grade fever. Chest radiography and computed tomography revealed a right-sided, thick-walled cavity with diseased lung parenchyma, and sputum microscopy confirmed fungal forms of aspergillus. He subsequentl...

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Published inThe Annals of thoracic surgery Vol. 98; no. 1; pp. 360 - 361
Main Authors Nakada, Takeo, MD, Akiba, Tadashi, MD, PhD, Inagaki, Takuya, MD, PhD, Morikawa, Toshiaki, MD, PhD, Ohki, Takao, MD, PhD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.07.2014
Subjects
Cardiothoracic Surgery
Equipment Design
Humans
Male
Middle Aged
Pulmonary Aspergillosis - diagnosis
Pulmonary Aspergillosis - surgery
Pulmonary Surgical Procedures - instrumentation
Radiography, Thoracic
Surgery
Surgical Wound Dehiscence - prevention & control
Tomography, X-Ray Computed
11
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Summary:A 64-year-old man presented with dyspnea, chest pain, cough, expectoration, and continuous low-grade fever. Chest radiography and computed tomography revealed a right-sided, thick-walled cavity with diseased lung parenchyma, and sputum microscopy confirmed fungal forms of aspergillus. He subsequently developed a left-sided pneumonia caused by aspiration of the right-sided abscess. Because lung resection was considered too invasive, we performed simplified cavernostomy using the Alexis Wound Protector (XXS) using local anesthesia. In addition to the excellent drainage outcomes, this procedure was both simple and efficient. Moreover, the procedure was associated with less pain and physical limitation for the patient.
Bibliography:ObjectType-Case Study-2
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.11.087