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Eur J Cardiothorac Surg 1999;15:370-372
© 1999 Elsevier Science NL

Case report

Combination of extracorporeal membrane oxygenation (ECMO) and pulmonary lavage in a patient with pulmonary alveolar proteinosis

Evangelos Sivitanidisa, Rifaat Tossona, Albrecht Wiebalcka,b, Axel Laczkovicsa

a Department of Cardiac and Thoracic Surgery, Ruhr-University-Hospital Bergmannsheil, Bürkle-de-La-Camp-Platz 1, D-44789 Bochum, Germany
b Department of Anaesthesiology, Ruhr-University-Hospital Bergmannsheil, Bochum, Germany

Received 19 October 1998; received in revised form 17 December 1998; accepted 22 December 1998.

Corresponding author. Tel.: +49-234-302-6000; fax: +49-234-302-6010.

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.

Key Words: Pulmonary alveolar proteinosis • Whole-lung-lavage • Extracorporeal membrane oxygenation




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Copyright © 1999 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.