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Ann Thorac Surg 1975;20:196-203
© 1975 The Society of Thoracic Surgeons

Articles

Pulmonary Aspergilloma

A Report of Its Occurrence in 2 Patients with Cyanotic Heart Disease

M. Wayne Flye, M.D.*, Will C. Sealy, M.D.

From the Department of Surgery, Duke University Medical Center, Durham, N.C.

Accepted for publication January 16, 1975.

* Address reprint requests to Dr. Flye, Department of Surgery, Duke University Medical Center, Durham, N.C. 27710.

This is an account of our experience with 2 patients with congenital cyanotic heart disease who developed pulmonary aspergillomas. Neither patient had a demonstrable cavity in the lung before the appearance of the fungus ball. Both patients had pulmonary artery-to-superior vena cava shunts, but the aspergilloma was in the ipsilateral lung in one and the contralateral lung in the other. Repeated life-threatening hemoptyses made excision of the lung containing the cavity and fungus ball necessary in both patients.




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