Combination of extracorporeal membrane oxygenation (ECMO) and pulmonary lavage in a patient with pulmonary alveolar proteinosis.
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.
Sivitanidis
E
E
Department of Cardiac and Thoracic Surgery, Ruhr-University-Hospital Bergmannsheil, Bochum, Germany.
Tosson
R
R
Wiebalck
A
A
Laczkovics
A
A
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