Journal of Yeungnam Medical Science
- Volume 32 Issue 2
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- Pages.98-101
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- 2015
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- 2799-8010(eISSN)
DOI QR Code
Pumpless extracorporeal interventional lung assist for bronchiolitis obliterans after allogenic peripheral blood stem cell transplantation for acute lymphocytic leukemia
- Park, Yeon-Hee (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Chung, Chae-Uk (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Choi, Jae-Woo (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Jung, Sang-Ok (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Jung, Sung-Soo (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Lee, Jeong-Eun (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Kim, Ju-Ock (Department of Internal Medicine, Chungnam National University School of Medicine) ;
- Moon, Jae-Young (Department of Internal Medicine, Chungnam National University School of Medicine)
- Received : 2014.06.30
- Accepted : 2014.08.04
- Published : 2015.12.31
Abstract
Bronchiolitis obliterans (BO), which is associated with graft-versus-host disease after allogenic hematopoietic stem cell transplantation, is a major obstacle to survival after bone marrow transplantation due to its gradual progress, eventually leading to respiratory failure. Pumpless extracorporeal interventional lung assist (iLA) is effective in treatment of reversible hypercapnic respiratory failure. In this paper, we present a 23-year-old female patient who underwent allogeneic peripheral blood stem cell transplantation (PBSCT) for acute lymphocytic leukemia. After 6 months, she complained of shortness of breath and was diagnosed with BO. Five months later, she developed an upper respiratory tract infection that worsened her BO and caused life-threatening hypercapnia. Since mechanical ventilation failed to eliminate
Keywords
- Bronchiolitis obliterans;
- Graft vs host disease;
- Pumpless extracorporeal interventional lung assist;
- Hypercapnia