RT Journal Article
SR Electronic
T1 Surgical management of pulmonary aspergillome: about 84 cases
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA1090
DO 10.1183/13993003.congress-2019.PA1090
VO 54
IS suppl 63
A1 Mariem Hadj Dahmane
A1 Sarra Zairi
A1 Mouna Attia
A1 Mahdi Abdenadher
A1 Hazem Zribi
A1 Imen Bouassida
A1 Amira Dridi
A1 Aida Ayadi
A1 Amna Brahem
A1 Taher Mestiri
A1 Khawla Ben Miled
A1 Faouzi Mezni
A1 Adel Mrghli
YR 2019
UL http://erj.ersjournals.com/content/54/suppl_63/PA1090.abstract
AB Introduction: Pulmonary aspergilloma is a fungal infection caused by the deposit of mycelial fibers inside a pre-existing parenchymal or pleural cavity, most often secondary to tuberculosis. Surgery is known to be difficult, with high postoperative morbidity rates. The purpose of our study was to assess the outcomes of patients managed surgically for aspergilloma.Methods: We retrospectively reviewed the records of 84 patients of pulmonary aspergilloma which were managed at the thoracic surgery department of Abderrahmen Mami Hospital Ariana - Tunisia.Results: The mean age was 51.69, with a male predominance of 52 (61.90%). The main symptom was hemoptysis. History of pulmonary tuberculosis was found in 18 cases (21.42%) and bronchial dilatation in 9 cases (10.71%). Aspergilloma was on the right side in 45 cases, left in 38 cases and bilateral in 1 case. Surgical procedures performed were: anatomical resections in 69 cases and atypical resections in 15 cases. Complications reported in the postoperative course were: hemorrhage in 2 cases, prolonged air leak in 7 cases, sepsis in 6 cases, 3 cases of atelectasis, one case of chylothorax and death in 3 patients.Conclusion: Despite the advent of new medical treatments, surgery is still a standard in the management of pulmonary aspergilloma. Postoperative outcomes are highly influenced by the patient’s status and the complexity of the surgery. Intraoperative difficulties have to be kept in mind during management and the patient should be well prepared before surgery.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA1090.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).