Successful cardiac resuscitation with extracorporeal membrane oxygenation in the setting of persistent ventricular fibrillation: a case report

BMC Research Notes

Amir Ravandi²  Davinder S Jassal⁴  Darren Freed¹  Mehrdad Golian³ 

[1] Section of Cardiac Surgery, Department of Surgery, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada;Institute of Cardiovascular Sciences, St. Boniface Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada;Section of Cardiology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba R2H 2A6, Canada;Department of Radiology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

关键词: Arrhythmia;    Percutaneous coronary intervention;    Resuscitation;    ECMO;   

Others  :  1125712
DOI  :  10.1186/1756-0500-7-782

 received in 2014-04-25, accepted in 2014-10-14,  发布年份 2014

【 摘 要 】

Background

Extracorporeal membrane oxygenation (ECMO) technology is a viable option for short-term support in the setting of acute cardiac ischemia. To supplement cardiopulmonary resuscitation (CPR) in select patients, ECMO is used successfully for witnessed in hospital cardiac arrest. In the setting of an acute myocardial infarction (MI), bridging to a revascularization procedure is important in improving overall survival.

Case presentation

We describe the first known case of a 56-year-old Caucasian male with an anterior ST elevation myocardial infarction (STEMI) who underwent percutaneous coronary intervention (PCI) in which the entire procedure was carried out with the patient being in persistent ventricular fibrillation (VF) resistant to defibrillation on ECMO support. Subsequent to revascularization, the patient’s cardiac rhythm converted back to sinus rhythm with a single defibrillation shock with excellent neurologic recovery.

Conclusion

Our case highlights the importance of early initiation of ECMO during PCI in achieving both improved cardiac and neurological outcomes during an acute coronary syndrome (ACS).

【 授权许可】

   
2014 Golian et al.; licensee BioMed Central Ltd.

【 图 表 】

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