Pulmonary aspergilloma. Clinical aspects and surgical treatment outcome

Eliseo Passera, Adriano Rizzi, Mario Robustellini, Gerolamo Rossi, Claudio Della Pona, Fabio Massera, Gaetano Rocco

Research output: Contribution to journalArticle

Abstract

Aspergillomas are fungal balls within lung cavities. The natural history is variable. Hemoptysis is a dangerous sequela. Medical therapy is ineffective because of the lack of a lesion blood supply. Randomized trials are lacking. Surgery should be the treatment of choice in cases of hemoptysis, and even in asymptomatic patients, if lung function is not severely compromised. Cavernostomy and cavernoplasty may be options for high-risk patients. Percutaneous therapy should be reserved for patients who are not fit for surgery. Bronchial artery embolization is appropriate for symptomatic patients not suitable for surgery. Embolization could be considered a preoperative and temporary strategy.

Original languageEnglish
Pages (from-to)345-361
Number of pages17
JournalThoracic Surgery Clinics
Volume22
Issue number3
DOIs
Publication statusPublished - Aug 2012

Keywords

  • Aspergilloma
  • Fungal infections
  • Hemoptysis
  • Pulmonary mycetoma
  • Thoracic surgery
  • Tuberculosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Surgery

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  • Cite this

    Passera, E., Rizzi, A., Robustellini, M., Rossi, G., Della Pona, C., Massera, F., & Rocco, G. (2012). Pulmonary aspergilloma. Clinical aspects and surgical treatment outcome. Thoracic Surgery Clinics, 22(3), 345-361. https://doi.org/10.1016/j.thorsurg.2012.04.001