%0 Journal Article
%T Pulmonary aspergilloma: surgical outcome of 79 patients in a Moroccan center
%A Hicham Harmouchi
%A Ibrahim Issoufou
%A Marouane Lakranbi
%A Mohammed Smahi
%A Yassine Ouadnouni
%J Asian Cardiovascular and Thoracic Annals
%@ 1816-5370
%D 2019
%R 10.1177/0218492319855492
%X Pulmonary aspergilloma presents in two clinical and radiological forms: simple and complex aspergilloma. Surgery is the best therapeutic option, most often by anatomic lung resection. Our aim was to report the surgical outcomes according to our experience. A retrospective study was conducted on data of 79 patients operated on for pulmonary aspergilloma over a period of 10 years. There were 57 (72.15%) men and 22 women (27.84%), with a mean age of 40.45 years. Tuberculosis, all-form combined, was the predominant pathological antecedent in 57 (72.15%) patients, and hemoptysis was the most frequent functional sign in 43 (54.43%). The right side was involved in 39 (49.36%) patients. All patients were operated on via a posterolateral thoracotomy, and an extrapleural plane was necessary in 40 (50.63%). The surgical procedure was a lobectomy in 38 (48.10%) patients and a pneumonectomy in 14 (17.72%). Transfusion of red blood cells was carried out in 10 (12.65%) patients, with one (1.26%) requiring a rethoracotomy for postoperative clotted hemothorax. Two (2.53%) patients presented with empyema after pneumonectomy. The mortality rate was 2.53% (2 patients), and the mean follow-up was 2.5 years. Surgery for pulmonary aspergilloma is associated with a high rate of morbidity and mortality. This surgery has been performed in our department with a very acceptable rate of mortality, especially considering that all patients were operated on by open surgery
%K Aspergillosis
%K hemoptysis
%K lung diseases
%K fungal
%K pneumonectomy
%K thoracotomy
%K tuberculosis
%U https://journals.sagepub.com/doi/full/10.1177/0218492319855492