Refractory hypoxemia due to intrapulmonary shunting associated with bronchioloalveolar carcinoma

被引:17
作者
Chetty, KG
Dick, C
McGovern, J
Conroy, RM
Mahutte, CK
机构
[1] VET ADM MED CTR,DEPT RADIOL,LONG BEACH,CA 90822
[2] UNIV CALIF IRVINE,IRVINE,CA 92717
关键词
bronchioloalveolar carcinoma; hypoxemia; intrapulmonary shunt; pulmonary artery occlusion; pulmonary shunt;
D O I
10.1378/chest.111.4.1120
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Bronchioloalveolar carcinoma caused severe refractory hypoxemia due to intrapulmonary shunting in a patient. Preoperative evaluation by occlusion of the pulmonary lobar artery supplying the tumor showed normalization of the arterial oxygen saturation, Resection of the involved lobe corrected the intrapulmonary shunting, and the patient required no further supplemental oxygen. However, with recurrence of the tumor over the next 6 months the patient became progressively more hypoxemic and died.
引用
收藏
页码:1120 / 1121
页数:4
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