[Cavernostomy, thoracoplasty and muscle plombage with the pedicled latissimus dorsi and serratus anterior flap for pulmonary aspergilloma]

Abstract

A 49-year-old male with pulmonary aspergilloma secondary to pulmonary tuberculosis was admitted and treated by administration of itraconazole. However, as he continued to display fever and purulent sputum, we chose surgical treatment. We performed cavernostomy, thoraco plasty and muscle plombage with the pedicled latissimus dorsi and serratus anterior flap because pulmonary resection was seem to be life-threatening. The postoperative course was uneventful and satisfactory. We considered that this technique was safe and useful for the case of pulmonary aspergilloma which might be difficult to pulmonary resection.