Omentoplasty for managing post-surgery complications of aspergilloma in a case of right pulmonary artery agenesis

Ref ID: 18424

Author:

Ramona Miron, Cristina Grigorescu, Violeta Cojocariu.

Author address:

Pneumology I, Clinic of
Pulmonary Diseases Iasi, Iasi, Romania Thoracic Surgery, Clinic of Pulmonary
Diseases Iasi, Iasi, Romania Ambulatory, Clinic of Pulmonary Diseases, Iasi,
Romania

Full conference title:

European Respiratory Congress

Abstract:

Background: The greater omentum pedicle flap transposition is not an uncommon
treatment approach in thoracic surgery. This method is described as the
final solution to save patient’s life, after right pneumonectomy with subsequent
complications.
Case report: A 32 years old woman admitted in our clinic in April 2010 for
severe dyspnea, hemoptysis was diagnosed with right pulmonary artery agenesis
and aspergillum cavity. The patient had a sinuous clinical evolution: in 1999, she
presented right infiltrative tuberculosis healed after six months treatment, but in
the same year, when investigated again because of persistent lesions revealed on
X-ray and CT, she was treated in ambulatory for repeated lower airways infections.
On June 2010, the patient suffered a right pneumonectomy for aspergilloma complicating
right pulmonary artery agenesis. Four weeks after surgery, she developed
bronchial fistula and relapsed after a month. Two surgical interventions were
necessary to resolve the bronchial fistula. The only solution to stop the recurrent
complications was to use a greater omentum flap to cover the bronchial fistula. This
surgical technique has proved effective for the first time with no complications
after 5 months.
Conclusions: Omentoplasty allows improvement of treatment results, decrease
of the complication frequency due to the anatomical, functional and vascular
particularities of greater omentum.

Abstract Number: P4325

Conference Year: 2011

Link to conference website: http://www.ers-education.org/ersMade/abstract_print_11/files/Abstract_book_2011.pdf

New link: NULL

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