Long-term Extracorporeal Membrane Oxygenator Support in Resuscitation for Intractable Hibernating Myocardium after Coronary Artery Bypass Grafting

We report our experience of long-term extracorporeal membrane oxygenator (ECMO) support to resuscitate a 62-year-old man who had critical three-vessel disease of coronary artery complicating intractable hibernating myocardium (HM) and sudden cardiogenic shock. Intra-aortic balloon pump and ECMO were...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2011/12/22, Vol.17(6), pp.611-613
Main Authors: Morimoto, Yoshihisa, Sugimoto, Takaki, Shiozawa, Hiroko
Format: Article
Language:English
Subjects:
Coronary Artery Bypass - adverse effects
Coronary Artery Disease - surgery
Extracorporeal Membrane Oxygenation
extracorporeal membrane oxygenator
hibernating myocardium
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Myocardial Stunning - etiology
Myocardial Stunning - therapy
resuscitation
Resuscitation - methods
Time Factors
Treatment Outcome
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Summary:We report our experience of long-term extracorporeal membrane oxygenator (ECMO) support to resuscitate a 62-year-old man who had critical three-vessel disease of coronary artery complicating intractable hibernating myocardium (HM) and sudden cardiogenic shock. Intra-aortic balloon pump and ECMO were deployed to restore the circulatory support while emergent revascularization surgery was performed. The patient was weaned from ECMO successfully after 15 days of support and discharged with recovered left ventricular function. ECMO is effective in resuscitation of patients with cardiogenic shock and HM. To our knowledge the present case necessitated the longest term of ECMO support to get rid of HM.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.10.01625