Childhood pulmonary alveolar proteinosis. Extracorporeal membrane oxygenation with total cardiopulmonary support during bronchopulmonary lavage.
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.
Hurrion
E M
EM
Department of Pediatric Cardiothoracic Surgery, Groby Road Hospital, Leicester, United Kingdom.
Pearson
G A
GA
Firmin
R K
RK
D002315:Cardiopulmonary Bypass; D002675:Child, Preschool; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D011649:Pulmonary Alveolar Proteinosis / Q000628:therapy*; D007507:Therapeutic Irrigation