Aspergilloma is a disease characterized by the formation of saprophytic fungal colonies in pulmonary cavities. Haemoptysis is the most common clinical presentation which may range from mild to life-threatening. Treatment options include conservative management, surgical resection and bronchial artery embolization (BAE).
Case Report. The case is described of a 66-year-old patient treated for haemoptysis due to aspergilloma for 6 years. Initially, the patient received conservative treatment, which did not yield measurable long-term benefits. He was later referred for minimally invasive treatment – bronchial artery embolization. Following embolization, symptoms reappeared after 5 years and the patient again underwent successful endovascular treatment. This case illustrates the superiority of minimally-invasive treatment over conservative therapy in managing haemoptysis.
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