Alveolar proteinosis. Lobar lavage by fiberoptic bronchoscopic technique

Chest. 1976 Feb;69(2):224-7. doi: 10.1378/chest.69.2.224.


Lavage limited to an isolated lobe was performed on multiple occasions using a cuffed fiberoptic bronchoscope in a patient with alveolar proteinosis. Sequential ventilation-perfusion scintiphotoscans were used to preselect and follow the functional behavior of the lavaged lobe. Lavage led to functional improvement. The technique of fiber-optic bronchoscopic lobar lavage is simple and may find application in patients in whom lavage of an entire lung may be hazardous.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Bronchoscopy*
  • Fiber Optic Technology*
  • Humans
  • Lung
  • Male
  • Optical Fibers
  • Pulmonary Alveolar Proteinosis / physiopathology
  • Pulmonary Alveolar Proteinosis / therapy*
  • Radionuclide Imaging
  • Therapeutic Irrigation / methods*
  • Ventilation-Perfusion Ratio