Research Article

Pulmonary Infarction Mimicking An Aspergilloma In A Heart Transplant Recipient

Antonacci F*, Belliato M Bortolotto C, Di Perna D, Dore R, Orlandoni G and D’Armini AM

Published: 01/30/2017 | Volume 1 - Issue 1 | Pages: 005-006

CASE DESCRIPTION

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.

Read Full Article HTML DOI: 10.29328/journal.jcmei.1001002 Cite this Article

REFERENCES

  1. Franquet T, Müller NL, Giménez A, Guembe P, de La Torre J, et al. Spectrum of pulmonary aspergillosis: histologic, clinical, and radiologic findings. Radiographics. 2001; 21: 825-837. Ref.: https://goo.gl/yIgqMZ
  2. Bray TJ, Mortensen KH, Gopalan D. Multimodality imaging of pulmonary infarction. Eur J Radiol. 2014; 83: 2240-2254. Ref.: https://goo.gl/R8RTCr