| A Case of Interventional Lung Assist Application in a Patient with Pulmonary Arteriovenous Malformation Complicating Massive Hemoptysis. |
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Dong Hyun Lee, Bo Ra Kim, Sang Bum Hong, Yoonki Hong |
1Department of Internal Medicine, Kangwon National University Hospital, Chuncheon, Korea. h-doctor@hanmail.net
2Department of Internal Medicine, Asan Medical Center, Seoul, Korea. |
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| Abstract |
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Percutaneous bronchial artery embolization and lung resection surgery have been effective for treatments of hemoptysis in patients with pulmonary arteriovenous malformation (PAVM). But, it has been little known about management for recurrent massive hemoptsis in patients with PAVM. It has been reported that Pumpless Extracoporeal Interventional Lung Assist (iLA) are effective for removal of hypercapnea in patient with acute respiratory failure. Here, we report a case of iLA support in a patient with PAVM complicating massive hemoptysis. A 38 year old man developed recurrent massive hemoptysis although interventions of bronchial artery embolization and lung resection surgery. The cause of recurrent hemoptysis was turned out PAVM. After a massive hemoptysis, the patient had severe hypercapnea and acidosis though mechanical ventilation and oxygenation. After iLA implantation, the hypercapnea was resolved and the clinical condition of the patient was improved, temporally. In conclusion, iLA may be a useful for bridge support in patients with prolonged massive hemoptysis. |
| Key Words:
Massive hemptysis, Pulmonary arteriovenous malformation, Pumpless extracoporeal interventional lung assist |
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