Pulmonary Infarction Mimicking An Aspergilloma In A Heart Transplant Recipient
Journal Title: Journal of Clinical, Medical and Experimental Images - Year 2017, Vol 1, Issue 1
Abstract
This patient (male, 59 years old) underwent cardiac re-transplantation for chronic rejection. Prior to re-transplantation, the patient was in NYHA class IV, with a clear chest x ray. On 14th postoperative day, he presented hemoptysis. On chest x-ray, a left lower lobe opacity was seen. Therefore, a chest CT scan was done and it showed a round mass within a pulmonary cavity surrounded by airspace in proximity of the pulmonary artery. The radiologist strongly suspected a pulmonary lesion similar to an aspergillum’s disease. The radiological appearance together with the immunocompromised status of the patient made the diagnosis of aspergillosis possible. Considered the high risk of a devastating hemoptysis due to the aspergillum vascular invasiveness, a left lower lobectomy was performed. The following course was characterized by a difficult weaning from mechanical ventilation and the patient was discharged on 45th postoperative day post lobectomy. Surprisingly pathological examination showed an abscessual cavity in an area of pulmonary infarction.
Authors and Affiliations
F Antonacci, M Belliato, C Bortolotto, D Di Perna, R Dore, G Orlandoni, AM D’Armini
Keywords
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- EP ID EP540974
- DOI 10.29328/journal.jcmei.1001002
- Views 86
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