Invasive Pulmonary Mucormycosis With Concomitant Lung Cancer Presented With Massive Hemoptysis by Huge Pseudoaneurysm of Pulmonary Artery Young Il Kim,

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Presentation transcript:

Invasive Pulmonary Mucormycosis With Concomitant Lung Cancer Presented With Massive Hemoptysis by Huge Pseudoaneurysm of Pulmonary Artery Young Il Kim, MD, Hyo Cheol Kang, MD, Ho Sung Lee, MD, Jae Sung Choi, MD, PhD, Ki Hyun Seo, MD, PhD, Yong Hoon Kim, MD, PhD, Juock Na, MD, PhD The Annals of Thoracic Surgery Volume 98, Issue 5, Pages 1832-1835 (November 2014) DOI: 10.1016/j.athoracsur.2013.12.051 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 An initial chest CT scan shows bilateral consolidation with left main bronchial wall thickening and enhancement with obstruction due to secretion. In addition, the left main pulmonary artery show irregular contour, and it is surrounded by parenchymal necrosis, suggesting focal aneurismal change. The Annals of Thoracic Surgery 2014 98, 1832-1835DOI: (10.1016/j.athoracsur.2013.12.051) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Bronchial biopsy showed Mucor hyphae with right-angled branching in the inflamed necrotic tissue (hematoxylin and eosin; original magnification ×200). The Annals of Thoracic Surgery 2014 98, 1832-1835DOI: (10.1016/j.athoracsur.2013.12.051) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Pulmonary arteriography showed a pseudoaneurysm of the left pulmonary artery at a bifurcation point of the left main pulmonary artery. The Annals of Thoracic Surgery 2014 98, 1832-1835DOI: (10.1016/j.athoracsur.2013.12.051) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions