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KMID : 0980720150340020183
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Keimyung Medical Journal
2015 Volume.34 No. 2 p.183 ~ p.187
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A Case of Interventional Lung Assist Application in a Patient with Pulmonary Arteriovenous Malformation Complicating Massive Hemoptysis
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이동현:Lee Dong-Hyun
김보라:Kim Bo-Ra/홍상범:Hong Sang-Bum/홍윤기:Hong Yoon-Ki
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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.
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KEYWORD
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Massive hemptysis, Pulmonary arteriovenous malformation, Pumpless extracoporeal interventional lung assist
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