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Pericardial Fat Plombage for Secondary Pneumothorax Caused by Pulmonary Aspergilloma
Masaya Sogabe1, Kentaro Minegishi1, Keigo Sudo1
1Department of General Thoracic Surgery, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Abstract:
Surgical treatment of secondary pneumothorax caused by pulmonary aspergilloma often makes it difficult to close the fistula. We herein report a surgical case of pneumothorax in an 85-year-old man with a fungus ball in a cavity of the right lung S3. A fungus mass protruded into the thoracic cavity from the lung fistula, and the surrounding tissue was thickened by inflammatory changes. We tried to close the defect by filling it with pericardial fat tissue and suturing. After the operation, the air leak disappeared immediately, and there was no recurrence of pneumothorax. This method is an effective and practical treatment.
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