Successful resection of localized pulmonary mucormycosis after bone marrow transplantation using a virtual 3-dimensional pulmonary model on a personal.

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Presentation transcript:

Successful resection of localized pulmonary mucormycosis after bone marrow transplantation using a virtual 3-dimensional pulmonary model on a personal computer Hideyuki Maeda, MD, Masato Kanzaki, MD, Tamami Isaka, MD, PhD, Takamasa Onuki, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 6, Pages 1434-1436 (December 2010) DOI: 10.1016/j.jtcvs.2010.05.007 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, A computed tomogram (CT) shows a fungus ball in the S1+2 of the left upper lobe of the lung. B, The size of a fungus ball was decreased by administering liposomal amphotericin B (L-AMB) before the operation. C, Three-dimensional images of the left lung based on high-resolution CT with 2-mm CT slices. Pulmonary arteries, veins, and bronchi are shown in red, blue, and yellow. A fungus ball was located in S1+2 of the left lung. D and E, Comparison of 3-dimensional images and intraoperative findings. T, Tumor; PA, interlobar pulmonary artery; ⋆, lingular segmental pulmonary artery (A4+5); ⋆⋆, apicoposterior segmental branch (A1+2c); LUL, left upper lobe; LLL, left lower lobe. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1434-1436DOI: (10.1016/j.jtcvs.2010.05.007) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Macroscopic findings. The size of the mass is 20 mm. A fungus ball is present inside the mass (white arrow). B, Photomicrograph of the lesion shows characteristic broad, aseptate hyphae with stubby, right-angled, fingerlike branches in a background of necrotic tissue (Grocott's methenamine silver stain, original magnification ×200). The Journal of Thoracic and Cardiovascular Surgery 2010 140, 1434-1436DOI: (10.1016/j.jtcvs.2010.05.007) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions