Repair of Tracheal Aspergillosis Perforation Causing Tension Pneumothorax

Division of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Electronic address: .
The Annals of thoracic surgery (Impact Factor: 3.85). 12/2013; 96(6):2256-8. DOI: 10.1016/j.athoracsur.2013.06.064
Source: PubMed


Tracheobronchial aspergillosis is a rare entity mainly observed in immune-compromised patients or those who have undergone transplantation. It may cause airway ulcerations or bleeding. We report the case of a 17-year-old patient receiving chemotherapy for acute lymphoblastic leukemia who presented with right-sided tension pneumothorax. Chest tube drainage revealed a massive air leak without reexpansion of the lung, and bronchoscopy showed a 15- × 15-mm defect of the distal trachea related to aspergillosis infection. The defect was closed by an intrathoracic transposition of a pedicled latissimus dorsi muscle flap, which was sutured into the debrided defect followed by temporary endotracheal stenting and antifungal medication.

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Available from: Jonathan Mengu Ma Tooh, Jul 17, 2014
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