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Ann Thorac Surg 2000;70:302-304
© 2000 The Society of Thoracic Surgeons

Case report

Bronchial stump aspergillosis

Jean Philippe Le Rochais, MDa, Philippe Icard, MDa, Thierry Simon, MDa, Philippe Poirier, MDa, Claude Evrard, MDa

a Service de Chirurgie Thoracique et Cardiovasculaire, CHU Côte de Nacre, Caen, France

Address reprint requests to Dr Icard, Service de Chirurgie Thoracique et Cardiovasculaire, CHU Côte de Nacre, 14033 Caen, France
e-mail: icard-p{at}chu-caen.fr

Two cases of bronchial stump aspergillosis were diagnosed 5 and 6 years after pneumonectomy for lung cancer. In each case, the fungal mass was endoscopically removed using standard forceps. A recurrence of the fungal mass persisted until all visible protruding nylon threads in the airway lumen were destroyed with a Nd:YAG laser. Removal of the visible suture is necessary for eliminating the infection. No additional local or systemic antifungal therapy is needed.






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