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- Leslie Noirez, Angela Koutsokera, Olivier Pantet, François-Régis Duss, Philippe Eggimann, Piergiorgio Tozzi, Michel Gonzalez, Marcos Coronado, Laurent P Nicod, and Alban Lovis.
- Department of Respiratory Medicine, University Hospital of Lausanne, Lausanne, Switzerland.
- Ann. Thorac. Surg. 2015 Apr 1; 99 (4): 1456-8.
AbstractPulmonary alveolar proteinosis (PAP) is characterized by accumulation of lipoproteinaceous material in the terminal airways. Whole lung lavage (WLL) remains the gold standard treatment but may be particularly challenging in cases of severe hypoxemia. We present a 3-step strategy that was used in a patient with PAP-associated refractory hypoxemia and that combined venovenous extracorporeal membrane oxygenation (vvECMO), double-lumen orotracheal intubation, and bilateral multisegmental sequential lavage (MSL). The procedure was well tolerated and permitted weaning from the ventilator.Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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