Chest Surgery pp 269-278 | Cite as


  • Ashok N. Babu
  • John D. MitchellEmail author
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


Pulmonary aspergilloma is defined as a thick-walled cavity surrounded by lung which contains an aspergillus fungus ball. These organisms typically form a fungus ball (or mycetoma) within pre-existing lung cavities. The fungus ball itself is composed of Aspergillus hyphae, fibrin, mucus, and cellular debris. Chronic inflammation within and around the cavity can lead to hemoptysis, ranging from mild to massive. Aspergilloma can be categorized into simple and complex forms based upon the radiographic appearance. Efficacy of medical therapy alone for an aspergilloma is poor, and surgical therapy provides the best chance for cure. Surgical options include formal anatomic lung resection, or a technique termed cavernostomy involving localized thoracostomy, pneumotomy and evacuation of the mycetoma. Complication and mortality rates have improved dramatically in modern series.


Invasive Pulmonary Aspergillosis Bronchopleural Fistula Allergic Bronchopulmonary Aspergillosis Fungus Ball Pleural Adhesion 
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© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Division of Cardiothoracic SurgeryUniversity of Colorado School of MedicineAuroraUSA
  2. 2.Division of Cardiothoracic Surgery, Department of SurgeryUniversity of Colorado School of MedicineAuroraUSA
  3. 3.Section of General Thoracic SurgeryUniversity of Colorado School of MedicineAuroraUSA

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