Successful Extracorporeal Membrane Oxygenation for Cardiogenic Shock Due to Left Main Coronary Arter

• 作 者: ZhongTaoDu[1]Jia-LinXing[1]Xiao-FangYang[1]JingHou[2]MingJia[2]RanDong[3]Xiao-TongHou[1]
• 机 构: Department of Extracorporeal Circulation,Beijing Anzhen Hospital,Capital Medical University,Beijing,
• 出 处: 中华医学会第7次全国重症医学大会
• 发表日期: 2013年期

　　A 59-year-old man was admitted to the emergency department with an acute myocardial infarctio n (AMI) due to left main coronary artery (LMCA) occlusion.An emergent percutaneous coronary angiogram was performed and showed total occlusion of the mid-shaft of the LMCA, which resulted in insufficient perfusion and the patients condition worsened.Because an intra-aortic balloon pump (IABP) could not provide adequate organ perfusion pressure, veno-arterial extracorporeal membrane oxygenation (ECMO) and percutaneous transluminal coronary angioplasty (PTCA) were performed.The patient was transferred to the Cardiac Surgical Department for surgical revascularization and coronary artery flow was re-established, successfully weaned from ECMO after 86 hours of support, and discharged to home with recovered left ventricular function 12 days later.