[Veno-arterial ECMO as bridge to recovery. Cardiogenic shock and suspected myocarditis in a 37-year-old patient]

Med Klin Intensivmed Notfmed. 2012 Apr;107(3):206-12. doi: 10.1007/s00063-011-0064-z. Epub 2012 Jan 12.
[Article in German]

Abstract

We report a case of a 37-year-old patient presenting with fulminant cardiogenic shock, almost noncontractile ventricles, followed by electromechanical dissociation. During performance of cardiopulmonary resuscitation, a veno-arterial extracorporeal membrane oxygenation device (VA ECMO) was implanted, which became necessary for 13 days. Subsequently, a total arrest of ventricular function was observed and prominent multiple organ failure emerged. A rapid test for respiratory syncytial virus was positive, supporting the suspected diagnosis of myocarditis. Despite numerous complications, complete recovery was achieved.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Disease Progression
  • Echocardiography
  • Electrocardiography
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Follow-Up Studies
  • Heart Arrest / therapy
  • Humans
  • Hypothermia, Induced / methods
  • Intensive Care Units*
  • Kidney Function Tests
  • Length of Stay
  • Liver Function Tests
  • Multiple Organ Failure / diagnosis
  • Multiple Organ Failure / therapy
  • Myocarditis / diagnosis
  • Myocarditis / therapy*
  • Renal Dialysis / methods
  • Respiratory Syncytial Virus Infections / diagnosis
  • Respiratory Syncytial Virus Infections / therapy
  • Resuscitation / methods
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / therapy*
  • Signal Processing, Computer-Assisted