Article: article from journal or magazin.
Repair of tracheal aspergillosis perforation causing tension pneumothorax.
Annals of Thoracic Surgery
Publication types: Journal Article Publication Status: ppublish Document Type: Editorial Material. Etude de cas, mais décrit une nouvelle technique (how to do it).
Tracheobronchial aspergillosis is a rare entity mainly observed in immune-compromised patients or those who have undergone transplantation. It may cause airway ulcerations or bleeding. We report the case of a 17-year-old patient receiving chemotherapy for acute lymphoblastic leukemia who presented with right-sided tension pneumothorax. Chest tube drainage revealed a massive air leak without reexpansion of the lung, and bronchoscopy showed a 15- × 15-mm defect of the distal trachea related to aspergillosis infection. The defect was closed by an intrathoracic transposition of a pedicled latissimus dorsi muscle flap, which was sutured into the debrided defect followed by temporary endotracheal stenting and antifungal medication.
Web of science
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