Thorac Cardiovasc Surg 2008; 56(6): 370-372
DOI: 10.1055/s-2007-989332
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Use of Video-Assisted Thoracoscopy Surgery for the Treatment of Aspergillus Empyema with Bronchopleural Fistula

Q. Feng1 , L. Ma1 , G. Gabrielle1 , G.-W. Yu1
  • 1Department of Cardiothoracic Surgery, The First Affiliated Hospital of Medical School, Zhejiang University, Hangzhou, P. R. China
Further Information

Publication History

Received August 1, 2007

Publication Date:
14 August 2008 (online)


Pulmonary aspergillosis is generally regarded as an opportunistic infection, as it usually results from a pathologically reduced state of immunity, the use of immunosuppressive drugs, or flora disturbance caused by long-term antibiotic therapy. Severe invasive pulmonary aspergillosis predisposes to the formation of lung abscesses and empyemas which may further lead to the development of a bronchopleural fistula. Antifungal therapy is usually inefficient at this stage of the disease as demonstrated by the rare case reports that have discussed the medical treatment of this condition [1], [2]. In our case, video-assisted thoracoscopy surgery was used to treat a patient with an aspergillus empyema and a bronchopleural fistula, with successful resolution 3 months postoperatively.


Dr. Qiang Feng

Department of Cardiothoracic Surgery
The First Affiliated Hospital of Medical School, Zhejiang University

Number 79, Qingchun Road

Hangzhou Zhejiang 310003

P. R. China