HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): W. Hajjar Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Al-Kattan, K. Articles by Al Bakry, A. Search for Related Content PubMed PubMed Citation Articles by Al-Kattan, K. Articles by Al Bakry, A. Related Collections Lung - other

Eur J Cardiothorac Surg 2001;20:728-733
© 2001 Elsevier Science NL

Surgery for pulmonary aspergilloma in post-tuberculous vs. immuno-compromised patients

King Khalid University Hospital, P.O. Box 18097, Riyadh 11415, Saudi Arabia

Received 10 October 2000; received in revised form 31 May 2001; accepted 31 May 2001.

Corresponding author. Tel.: +966-1-467-1920; fax: +966-1-467-9494
e-mail: kkattan{at}kfshrc.edu.sa

Objective: To compare the outcome of surgical resection for aspergilloma between patients with post-tuberculous complex and neutropenia. Methods: We retrospectively reviewed our surgical experience with pulmonary resection for aspergilloma in 30 patients. Of the 20 patients with complex aspergilloma complicating healed tuberculosis (group 1), 14 were male and six were female with an average age of 54 years (SD 7). The indication for surgery was recurrent haemoptysis in all and there were 17 lobectomies, two pneumonectomies and one bilateral lobectomy. There were ten patients with acute myeloid or lymphoid leukemia (group 2), six male and four female with an average age of 26 years (SD 4). Twelve lesions required lobectomy in eight and wedge excision in four. Results: In group 1 there was one post-operative death (5%), in a patient with massive haemoptysis and completely destroyed lungs with bilateral upper lobe aspergilloma secondary to pneumonia. Morbidity accounted for 25% (five patients), two required re-exploration for bleeding, two had prolonged air leak more than 7 days and one developed empyema. The later was treated with drainage and rib resection. One patient had recurrence of haemoptysis during the follow up period (mean 42 months). In group 2 there was no mortality or morbidity and six patients proceeded to bone marrow transplantation with no complication or recurrence. Conclusions: Surgical resection for pulmonary aspergilloma in selected patients provides the best chance of cure. Pulmonary resection for post-tuberculous complex aspergilloma is associated with higher morbidity than resection for immuno-compromised patients.

Key Words: Surgery • Tuberculosis • Aspergilloma

This article has been cited by other articles:

				B. C. Danner, V. Didilis, H. Dorge, D. Mikroulis, G. Bougioukas, and F. A. Schondube Surgical treatment of pulmonary aspergillosis/mycosis in immunocompromised patients Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 771 - 776. [Abstract] [Full Text] [PDF]