Lung Resection for Chronic Pulmonary Aspergillosis With an Infected Bulla

TL;DR

Lung resection for chronic pulmonary aspergillosis with infected bulla can be effective even if some infected tissue remains due to adhesions.

Contribution

Proposes a treatment strategy combining lung resection and antifungal medication for chronic pulmonary aspergillosis with infected bulla.

Findings

Lung resection combined with antifungal medication can be effective for chronic pulmonary aspergillosis with infected bulla.

Residual infected tissue due to adhesions does not necessarily prevent successful treatment outcomes.

Abstract

Lung resection for chronic pulmonary aspergillosis with infected bulla may unavoidably leave some infected tissue due to adhesions to the significant vessels and nerves; nevertheless, the treatment strategy of resection for most of the lesion and pre‐ and postoperative antifungal medication can be expected to be effective and even curative.

Residual part of the bulla wall (arrow) that was inseparable from the right brachiocephalic vein.

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