Masaoka approach for invasive aspergillosis: an aggressive approach for an aggressive disease.
Invasive pulmonary aspergillosis is a life-threatening infectious complication. The optimal management is still controversial, especially in cases of upper lobe lesions involving vascular structures. We report the case of a 24-year-old man with a granulocytic sarcoma of the left pulmonary apex, complicated by invasive pulmonary aspergillosis and false aneurysm of the left subclavian artery. A radical Masaoka anterior approach permitted left upper lobectomy and reconstruction of the artery.
Department of Thoracic Surgery, North Hospital, University of The Mediterranean, Marseille, France. davidkalfa@gmail.com
David
D
Kalfa
Philippe
P
Amabile
Claire
C
Galambrun
Pascal-Alexandre
PA
Thomas
D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D000935:Antifungal Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D016867:Immunocompromised Host; D055744:Invasive Pulmonary Aspergillosis / Q000175:diagnosis* / Q000276:immunology / Q000628:therapy*; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D008297:Male; D009361:Neoplasm Invasiveness; D011859:Radiography; D018570:Risk Assessment; D023981:Sarcoma, Myeloid / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D012720:Severity of Illness Index; D056346:Sternotomy / Q000379:methods*; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D055815:Young Adult
D000935:Antifungal Agents