Bronchoalveolar lavage for pulmonary alveolar proteinosis using VV ECMO

PIG Meeting: 18th February 2021

Update on patient presented at CME – severe type 2 respiratory failure during GA with DLT for broncho-alveolar lavage (BAL).

24 year old male with pulmonary alveolar proteinosis


  • Previous medulloblastoma treated with radiotherapy and chemotherapy
  • Complicated by deafness and renal failure
  • Renal transplant
  • Restrictive lung physiology

Procedure completed with femoral access and jugular return veno-venous ECMO.  Required 5L BAL for each lung with washing out of alveolar protein. 24 hours V-V ECMO support and successfully extubated.