title: Childhood pulmonary alveolar proteinosis. Extracorporeal membrane oxygenation with total cardiopulmonary support during bronchopulmonary lavage.
abstract: Partial cardiopulmonary bypass with extracorporeal membrane oxygenation to allow bilateral bronchopulmonary lavage in pulmonary alveolar proteinosis has been described. However, this technique is complicated by a very low arterial PO2 and cardiovascular embarrassment. Total cardiopulmonary support avoids these problems and was successfully used in a 2 1/2-year-old girl.
authors.affiliation: Department of Pediatric Cardiothoracic Surgery, Groby Road Hospital, Leicester, United Kingdom.
authors.forename: E M
authors.initials: EM
authors.lastname: Hurrion
authors.forename: G A
authors.initials: GA
authors.lastname: Pearson
authors.forename: R K
authors.initials: RK
authors.lastname: Firmin
mesh_terms: D002315:Cardiopulmonary Bypass; D002675:Child, Preschool; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D011649:Pulmonary Alveolar Proteinosis / Q000628:therapy*; D007507:Therapeutic Irrigation