XML Template (2013) [5.12.2013–4:33pm] //blrnas3/cenpro/ApplicationFiles/Journals/SAGE/3B2/AANJ/Vol00000/130476/APPFile/SG-AANJ130476.3d
(AAN)
[1–1] [PREPRINTER stage]
Images in Cardiothoracic Medicine and Surgery
Pneumopericardium due to Aspergillus empyema
Asian Cardiovascular & Thoracic Annals 0(0) 1 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313516779 aan.sagepub.com
Dong Xie1,*, Xiaofang You2,* and Gening Jiang1
Figure 1. Chest computed tomography showing (A) air in the pericardium (arrows), and (B) the fistula (black arrow), air (white arrow), and the empyema (open arrow).
Figure 2. Repeat computed tomography after 10 months, indicating regression of the fistula (arrow) and resolution of the empyema (open arrow) and pneumopericardium.
Funding A 51-year-old man presented with refractory hemoptysis due to multiple invasive pulmonary aspergilloma. After the failure of endovascular embolization, we performed a right pneumonectomy to control hemoptysis. Nine months after the operation, he presented to the emergency room with dyspnea and fever. Chest computed tomography showed air in the pericardium. A pleural fluid smear showed fungal hypha. Pneumopericardium caused by Aspergillus empyema was diagnosed. Irrigation and debridement of the empyema were performed, and the patient’s dyspnea resolved. A follow-up chest computed tomography scan showed complete resolution of the empyema and pneumopericardium. Pneumopericardium is an unusual complication of Aspergillus empyema.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement None declared. 1 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China 2 Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
*These authors contributed to the study equally. Corresponding author: Gening Jiang, Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Rd., Shanghai 200433, China. Email: [email protected]
Downloaded from aan.sagepub.com at SETON HALL UNIV on March 28, 2015
(AAN)
[1–1] [PREPRINTER stage]
Images in Cardiothoracic Medicine and Surgery
Pneumopericardium due to Aspergillus empyema
Asian Cardiovascular & Thoracic Annals 0(0) 1 ß The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492313516779 aan.sagepub.com
Dong Xie1,*, Xiaofang You2,* and Gening Jiang1
Figure 1. Chest computed tomography showing (A) air in the pericardium (arrows), and (B) the fistula (black arrow), air (white arrow), and the empyema (open arrow).
Figure 2. Repeat computed tomography after 10 months, indicating regression of the fistula (arrow) and resolution of the empyema (open arrow) and pneumopericardium.
Funding A 51-year-old man presented with refractory hemoptysis due to multiple invasive pulmonary aspergilloma. After the failure of endovascular embolization, we performed a right pneumonectomy to control hemoptysis. Nine months after the operation, he presented to the emergency room with dyspnea and fever. Chest computed tomography showed air in the pericardium. A pleural fluid smear showed fungal hypha. Pneumopericardium caused by Aspergillus empyema was diagnosed. Irrigation and debridement of the empyema were performed, and the patient’s dyspnea resolved. A follow-up chest computed tomography scan showed complete resolution of the empyema and pneumopericardium. Pneumopericardium is an unusual complication of Aspergillus empyema.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement None declared. 1 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China 2 Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China
*These authors contributed to the study equally. Corresponding author: Gening Jiang, Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507 Zhengmin Rd., Shanghai 200433, China. Email: [email protected]
Downloaded from aan.sagepub.com at SETON HALL UNIV on March 28, 2015
