Two cases of bronchial stump aspergillosis were diagnosed 5 and 6 years aft
er pneumonectomy for lung cancer. In each case, the fungal mass was endosco
pically removed using standard forceps. A recurrence of the fungal mass per
sisted until all visible protruding nylon threads in the airway lumen were
destroyed with a Nd:YAG laser. Removal of the visible suture is necessary f
or eliminating the infection. No additional local or systemic antifungal th
erapy is needed. (Ann Thorac Surg 2000;70:302-4) (C) 2000 by The Society of
Thoracic Surgeons.