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Refractory Hypoxemia Due to Intrapulmonary Shunting Associated With Bronchioloalveolar Carcinoma FREE TO VIEW

Kota G. Chetty; Cameron Dick; Jeffery McGovern; Robert M. Conroy; C. Kees Mahutte
Author and Funding Information

Affiliations: From the Department of Medicine, VA Medical Center, Long Beach, Calif, and the University of California, Irvine,  From the Department of Radiology, VA Medical Center, Long Beach, Calif, and the University of California, Irvine

Affiliations: From the Department of Medicine, VA Medical Center, Long Beach, Calif, and the University of California, Irvine,  From the Department of Radiology, VA Medical Center, Long Beach, Calif, and the University of California, Irvine


1997 by the American College of Chest Physicians


Chest. 1997;111(4):1120-1121. doi:10.1378/chest.111.4.1120
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Abstract

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.


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