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Surgical Management of Invasive Pulmonary Aspergillosis in Neutropenic Patients  Alain Bernard, MD, Denis Caillot, MD, Jean François Couaillier, MD, Olivier.

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Presentation on theme: "Surgical Management of Invasive Pulmonary Aspergillosis in Neutropenic Patients  Alain Bernard, MD, Denis Caillot, MD, Jean François Couaillier, MD, Olivier."— Presentation transcript:

1 Surgical Management of Invasive Pulmonary Aspergillosis in Neutropenic Patients 
Alain Bernard, MD, Denis Caillot, MD, Jean François Couaillier, MD, Olivier Casasnovas, MD, Henri Guy, MD, Jean Pierre Favre, MD  The Annals of Thoracic Surgery  Volume 64, Issue 5, Pages (November 1997) DOI: /S (97) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Chest roentgenogram showing a pulmonary infiltrate. This lesion was solitary and located in the right inferior lobe. The Annals of Thoracic Surgery  , DOI: ( /S (97) ) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Computed tomographic scan showing a halo sign in the right inferior lobe. The halo sign is described as a mass-like infiltrate with a surrounding halo of ground-glass attenuation. The Annals of Thoracic Surgery  , DOI: ( /S (97) ) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Computed tomographic scan showing an air crescent sign. The air crescent sign is described as a pulmonary cavitation. The aspergillosis lesions are located near the left pulmonary artery. The Annals of Thoracic Surgery  , DOI: ( /S (97) ) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 This algorithm describes the strategy for operative management in patients with hematologic malignancy and invasive pulmonary aspergillosis. The indications for a surgical procedure were classified into two groups: (1) emergency surgical resection to prevent massive hemoptysis and (2) elective operation to resect a residual mass or to diagnose the condition. (CT = computed tomography.) The Annals of Thoracic Surgery  , DOI: ( /S (97) ) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

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