[Lobectomy under video-assisted thoracoscopic surgery for pulmonary aspergillosis]

A 70-year-old man was admitted to our hospital because of hemoptysis and abnormal shadows on chest film. He was given a diagnosis of pulmonary aspergilloma with fungus ball by computed tomography and other evaluations. Success rate of systemic or topical treatment with antifungal agents is reported to be 80%. At this case lobectomy under VATS was chosen because he had chronic liver dysfunction by hepatitis type C and the lesion was localized in the right upper lobe. Bronchial artery embolization was performed prior to the operation in order to minimise bleeding on lysing the adhesion between the chest wall and the lobe with aspergilloma. Operation was underwent safety with a bloodloss of 170 ml. Success rate of operation is reported to be 95.8% in pulmonary resection. If bronchial artery embolization is successful and the lesion is localized, lobectomy under VATS can be good option in selected patients.