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Chest, Vol 81, 508-510, Copyright © 1982 by American College of Chest Physicians

ARTICLES

Fiberoptic bronchopulmonary lavage for alveolar proteinosis in a patient with only one lung

GJ Heymach 3d, RC Shaw, JA McDonald and JV Vest

Bronchopulmonary lavage with a fiberoptic bronchoscope was performed on a patient with alveolar proteinosis and only one lung. Lavage was performed under general anesthesia with continuous monitoring of oxygen saturation. Sequential washing of subsegments of his right upper and middle lobes did not compromise gas exchange to the remaining lower lobe. The patient tolerated the procedure without difficulty and had rapid improvement in pulmonary function and exercise capability, persisting during two months of follow-up. The necessity for cardiopulmonary bypass to provide oxygenation was anticipated and new equipment was designed should it have been required.


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S.-L. Cheng, H.-T. Chang, H.-P. Lau, L.-N. Lee, and P.-C. Yang
Pulmonary Alveolar Proteinosis: Treatment by Bronchofiberscopic Lobar Lavage
Chest, October 1, 2002; 122(4): 1480 - 1485.
[Abstract] [Full Text] [PDF]


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Copyright © 1982 by the American College of Chest Physicians.