title: Palliative embolisation for intrapulmonary shunting in lepidic predominant adenocarcinoma of the lung.
abstract: Lepidic predominant adenocarcinoma (LPA) (formerly known as bronchioalveolar carcinoma) has rarely been reported to cause refractory hypoxia with intrapulmonary shunting [1-7]. We describe a case who underwent the palliative strategy of intravascular right lower pulmonary artery embolisation with an 18 mm Amplatzer II vascular plug to reduce intrapulmonary shunting. This is the first report we are aware of using this minimally invasive procedure to treat this condition.
authors.affiliation: Department of Medical Oncology, Cancer Care Services, The Prince Charles Hospital, Rode Road, Chermside, QLD, 4032 Brisbane, Australia.
authors.forename: Joanne Yue-Ai
authors.initials: JY
authors.lastname: Tan
authors.affiliation: Department of Cardiology, The Prince Charles Hospital, Australia ; The School of Medicine, The University of Queensland, Australia.
authors.forename: Darren L
authors.initials: DL
authors.lastname: Walters
authors.affiliation: Department of Cardiology, The Prince Charles Hospital, Australia ; The School of Medicine, The University of Queensland, Australia.
authors.forename: Karl
authors.initials: K
authors.lastname: Poon
authors.affiliation: The School of Medicine, The University of Queensland, Australia ; Department of Thoracic Medicine, The Prince Charles Hospital, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Zimmerman
authors.affiliation: The School of Medicine, The University of Queensland, Australia ; Department of Thoracic Medicine, The Prince Charles Hospital, Australia.
authors.forename: Pat
authors.initials: P
authors.lastname: Aldons
keywords: Bronchioalveloar carcinoma; CT, computed tomography scan; ECOG, Eastern Cooperative Oncology Group performance status; Hypoxemia; Intrapulmonary shunting; LPA, lepidic predominant adenocarcinoma; Lepidic predominant adenocarcinoma; Pulmonary angiography; Pulmonary artery occlusion; VQ, ventilation-perfusion scan