Korean J Anesthesiol.  2005 May;48(5):549-552. 10.4097/kjae.2005.48.5.549.

Whole Lung Lavage and Extracorporeal Membrane Oxygenation in a Patient with Pulmonary Alveolar Proteinosis and Lung Cancer

• Seo JH
• Bahk JH

• KMID: 2238409
• DOI: http://doi.org/10.4097/kjae.2005.48.5.549

Abstract

Pulmonary alveolar proteinosis is characterized by accumulation of surfactant phospholipids and proteins within alveoli of the lungs. Sequential whole lung lavage is an accepted modality for treatment of pulmonary alveolar proteinosis. Generally, the degree of hypoxemia is tolerable while only one lung is being ventilated and the other is being lavaged. However, one patient became severely hypoxemic when one lung ventilation was performed through the left lung because of R-to-L shunt due to the lung cancer in the left lower lobe. Therefore, whole lung lavage on the right lung was successfully performed, while utilizing venovenous extracorporeal membrane oxygenation.

Keyword

pulmonary alveolar proteinosis; whole lung lavage; extracorporeal membrane oxygenation

MeSH Terms

Anoxia
Bronchoalveolar Lavage*
Extracorporeal Membrane Oxygenation*
Humans
Lung Neoplasms*
Lung*
One-Lung Ventilation
Phospholipids
Pulmonary Alveolar Proteinosis*
Phospholipids