A 6-year-old boy with massive sand aspiration was effectively treated
with femoral vein to femoral artery cardiopulmonary bypass (CPB), sali
ne bronchial lavage, and exogenous surfactant. The patient was dischar
ged the 9th hospital day without apparent sequelae. CPB should be cons
idered for cases of sand or gravel aspiration when gas exchange is com
promised.