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Case Reports
. 2021 Oct 29:11:81-85.
doi: 10.1016/j.xjtc.2021.09.057. eCollection 2022 Feb.

Right pneumonectomy for invasive pulmonary mucormycosis

Affiliations
Case Reports

Right pneumonectomy for invasive pulmonary mucormycosis

Natalie Van Ochten et al. JTCVS Tech. .
No abstract available

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Figures

None
Right pneumonectomy space view through Eloesser flap, showing the Latissimus and omental pedicle flap closure of the bronchopleural fistula.
Figure 1
Figure 1
Carinal plasty (A), and reinforcement with latissimus dorsi flap (B).
Figure 2
Figure 2
Right pneumonectomy space view through the Eloesser flap, showing Latissimus flap (A), site of carinal dehiscence (B), omental pedicle flap (C), and incorporated omental flap (D).
Figure E1
Figure E1
Chest radiograph (A) and computed tomography scan (B-F) showing an inflammatory mass extending into the right hilum, encasing the right mainstem bronchus, and behind the right main pulmonary artery.
Figure E2
Figure E2
Sternotomy view of the right main pulmonary artery between the ascending aorta and superior vena cava (SVC).
Figure E3
Figure E3
Extensive inflammation in the posterior mediastinum. The carina is densely adhered to esophagus.
Figure E4
Figure E4
One-year follow up chest radiograph after Eloesser flap closure.
Figure E5
Figure E5
Pathology specimen. Hematoxylin and eosin stain (A), and Grocott methenamine silver stain (B). High magnification (200×) examination of necrotic areas of the lung reveals presence of wide-angle nonseptate fungal hyphae with ribbon-like appearance, characteristic of mucormycosis.

References

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    1. Vercillo M.S., Liptay M.J., Seder C.W. Early pneumonectomy for pulmonary mucormycosis. Ann Thorac Surg. 2015;99:e67–e68. - PubMed

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