Operation for cavitating invasive pulmonary aspergillosis in immunocompromised patients

Surgical outcome of pulmonary aspergilloma

“…Hemoptysis is the most common indication for surgery in our series (85.6%) as reported by previous reports; the incidence of hemoptysis ranged from 50% to 83% and was severe or recurrent in 10% [19]. In our series bronchial artery embolization was not performed because the hemoptysis was moderate to minimal except in two cases that were operated on an emergency basis.…”

Predictive and Prognostic Value of Preoperative Symptoms in the Surgical Treatment of Pulmonary Aspergilloma

“…From the very beginning of the surgical procedure, every effort should be made towards meticulous hemostasis [2,3]. Aside for bronchial arteries, also intercostal arteries may be a source of substantial bleeding, particularly in CA, when the mycotic process with parenchymal destruction at the periphery of the lung invades the chest wall, leading to erosion of the intercostal vessels [4,29]. This situation may have important implications during the surgical procedure, and attention should be paid to avoid severe hemorrhage from chest wall-derived blood supply.…”

Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease

“…To obviate IPA relapse, some authors have suggested the resection of residual lesion(s) in addition to medical therapy. This was suggested in patients suffering from haematological malignancies [18,[172][173][174][175][176][177][178][179][180][181]. In this setting, surgery was proposed when the lesions were close to pulmonary vessels to avoid life-threatening haemorrhage in the neutrophils' recovery period [18], or in case of diagnostic procedure.…”