title: Repair of tracheal aspergillosis perforation causing tension pneumothorax.
abstract: 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.
authors.affiliation: Division of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Electronic address: michel.gonzalez@chuv.ch.
authors.forename: Michel
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Mengu
authors.initials: M
authors.lastname: Ma Tooh
authors.forename: Thorsten
authors.initials: T
authors.lastname: Krueger
authors.forename: Hans-Beat
authors.initials: HB
authors.lastname: Ris
authors.forename: Igor
authors.initials: I
authors.lastname: Letovanec
authors.forename: Yabo
authors.initials: Y
authors.lastname: Wang
authors.forename: Alban
authors.initials: A
authors.lastname: Lovis
mesh_terms: D000293:Adolescent; D001228:Aspergillosis / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D001999:Bronchoscopy; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D014132:Trachea / Q000382:microbiology / Q000601:surgery*; D014133:Tracheal Diseases / Q000150:complications* / Q000382:microbiology / Q000601:surgery
keywords: 15