Refractory hypoxemia due to intrapulmonary shunting associated with bronchioloalveolar carcinoma

Chest. 1997 Apr;111(4):1120-1. doi: 10.1378/chest.111.4.1120.


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.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Bronchiolo-Alveolar / blood supply
  • Adenocarcinoma, Bronchiolo-Alveolar / complications*
  • Aged
  • Humans
  • Hypoxia / etiology*
  • Lung Neoplasms / blood supply
  • Lung Neoplasms / complications*
  • Male
  • Pulmonary Circulation*