Simplified cavernostomy using wound protector for complex pulmonary aspergilloma

Takeo Nakada; Tadashi Akiba; Takuya Inagaki; Toshiaki Morikawa; Takao Ohki

doi:10.1016/j.athoracsur.2013.11.087

Simplified cavernostomy using wound protector for complex pulmonary aspergilloma

Ann Thorac Surg. 2014 Jul;98(1):360-1. doi: 10.1016/j.athoracsur.2013.11.087.

Authors

Takeo Nakada¹, Tadashi Akiba², Takuya Inagaki², Toshiaki Morikawa³, Takao Ohki³

Affiliations

¹ Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan. Electronic address: [email protected].
² Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
³ Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan.

PMID: 24996732
DOI: 10.1016/j.athoracsur.2013.11.087

Abstract

A 64-year-old man presented with dyspnea, chest pain, cough, expectoration, and continuous low-grade fever. Chest radiography and computed tomography revealed a right-sided, thick-walled cavity with diseased lung parenchyma, and sputum microscopy confirmed fungal forms of aspergillus. He subsequently developed a left-sided pneumonia caused by aspiration of the right-sided abscess. Because lung resection was considered too invasive, we performed simplified cavernostomy using the Alexis Wound Protector (XXS) using local anesthesia. In addition to the excellent drainage outcomes, this procedure was both simple and efficient. Moreover, the procedure was associated with less pain and physical limitation for the patient.

Publication types

Case Reports

MeSH terms

Equipment Design
Humans
Male
Middle Aged
Pulmonary Aspergillosis / diagnosis
Pulmonary Aspergillosis / surgery*
Pulmonary Surgical Procedures / instrumentation*
Radiography, Thoracic
Surgical Wound Dehiscence / prevention & control*
Tomography, X-Ray Computed