title: Combination of extracorporeal membrane oxygenation (ECMO) and pulmonary lavage in a patient with pulmonary alveolar proteinosis.
abstract: We describe a rare case of pulmonary alveolar proteinosis in a young woman with dyspnea and progressive hypoxaemia due to the alveolar deposition of insoluble, surfactant-like material. Routine treatment includes whole-lung-lavage (WLL) using double-lumen-tubes for selective lavaging of each lung. We performed three whole-lung-lavages and used veno-venous extracorporeal membrane oxygenation (v-vECMO) to support oxygenation during these procedures.
authors.affiliation: Department of Cardiac and Thoracic Surgery, Ruhr-University-Hospital Bergmannsheil, Bochum, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Sivitanidis
authors.forename: R
authors.initials: R
authors.lastname: Tosson
authors.forename: A
authors.initials: A
authors.lastname: Wiebalck
authors.forename: A
authors.initials: A
authors.lastname: Laczkovics
mesh_terms: D000328:Adult; D018893:Bronchoalveolar Lavage; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D011649:Pulmonary Alveolar Proteinosis / Q000503:physiopathology / Q000628:therapy*; D011659:Pulmonary Gas Exchange