title: Left pneumonectomy for complex aspergilloma after patent ductus arteriosus ligation.
abstract: Surgery for complex pulmonary aspergilloma is known to be technically challenging, often for indurated hilar structures and obliterated pleural space. We report a case of left pneumonectomy for pulmonary aspergilloma with a history of patent ductus arteriosus ligation via anterolateral thoracotomy and aortopexy via median sternotomy and pericardiotomy. Left pneumonectomy was successfully accomplished by devising a surgical approach and procedures for transection of the left main pulmonary artery.
authors.affiliation: Department of General Thoracic Surgery and Paediatric Cardiac Surgery, Jichi Medical University, Shimotsuke-shi, Tochigi, Japan. tomshiba925@jichi.ac.jp
authors.forename: Tomoki
authors.initials: T
authors.lastname: Shibano
authors.forename: Kenji
authors.initials: K
authors.lastname: Tetsuka
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kawada
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Endo
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery; D006348:Cardiac Surgical Procedures; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation; D011013:Pneumonectomy; D055732:Pulmonary Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortopexy; Complex aspergilloma; Patent ductus arteriosus; Pericardiotomy; Surgical intervention