[Endovascular management of a left subclavian artery lesion following thoracoplasty for bronchopleural fistula and empyema secondary to aspergillus fumigatus].
Massive and/or recurrent hemoptysis is a clear indication for surgical treatment of pleuropulmonary aspergilloma, despite the incidence of postoperative morbidity and mortality. Thoracoplasty has been widely used for 20 years and is still indicated in these cases, following lobectomy, even though the procedure is not free of complications. We report the case of a patient who required thoracoplasty to treat a pleuropulmonary aspergilloma invading the chest wall. Subsequent placement of an aortic stent-graft was required due to tearing of the left subclavian artery.
Ramos
Ricard
R
Unitat d'Anatomia i Embriologia Humana, Servei de Cirurgia Toràcica, Hospital Universitari de Bellvitge, Universidad de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain. ricardramos@ub.edu
Rodríguez
Laura
L
Saumench
Josep
J
Iborra
Elena
E
Cairols
Marc Antoni
MA
Dorca
Jordi
J
D017546:Angioscopy; D001228:Aspergillosis / Q000150:complications* / Q000601:surgery*; D001232:Aspergillus fumigatus; D001983:Bronchial Fistula / Q000382:microbiology* / Q000601:surgery*; D016724:Empyema, Pleural / Q000382:microbiology* / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery*; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016156:Respiratory Tract Fistula / Q000382:microbiology* / Q000601:surgery*; D013348:Subclavian Artery / Q000293:injuries*; D013905:Thoracoplasty