Veno-arterial ECMO as bridge to recovery. Cardiogenic shock and suspected myocarditis in a 37-year-old patient
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...
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| Veröffentlicht in: | Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2012-04, Vol.107 (3), p.206 |
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| container_issue | 3 |
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| container_title | Medizinische Klinik, Intensivmedizin und Notfallmedizin |
| container_volume | 107 |
| creator | Fox, H Seeger, F H Schmitt, J Potente, M Dzemali, O Fichtlscherer, S Ehrlich, J R |
| description | 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. |
| doi_str_mv | 10.1007/s00063-011-0064-z |
| format | Article |
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Despite numerous complications, complete recovery was achieved.</description><subject>Adult</subject><subject>Disease Progression</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Extracorporeal Membrane Oxygenation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Arrest - therapy</subject><subject>Humans</subject><subject>Hypothermia, Induced - methods</subject><subject>Intensive Care Units</subject><subject>Kidney Function Tests</subject><subject>Length of Stay</subject><subject>Liver Function Tests</subject><subject>Multiple Organ Failure - diagnosis</subject><subject>Multiple Organ Failure - therapy</subject><subject>Myocarditis - diagnosis</subject><subject>Myocarditis - therapy</subject><subject>Renal Dialysis - methods</subject><subject>Respiratory Syncytial Virus Infections - diagnosis</subject><subject>Respiratory Syncytial Virus Infections - therapy</subject><subject>Resuscitation - methods</subject><subject>Shock, Cardiogenic - diagnosis</subject><subject>Shock, Cardiogenic - therapy</subject><subject>Signal Processing, Computer-Assisted</subject><issn>2193-6226</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j81KAzEURoMgttQ-gBu5L5B6k8wknaUM9Qcq3ajbkknu1Gg7MySpMD69FnV1vsXhg8PYlcCFQDQ3CRG14igE_xkF_zpjUykqxbWUesLmKb3jSUEsDV6wiZSqqEpVTln3Sl3PbcwUg93Dqn7agE3QxOB3BLmHSK7_pDguoLbRh35HXXCQ3nr3AbbzkI5pIJfJw2Hs3UnJIUHowIIyfCQbeb_3MNgcqMuX7Ly1-0TzP87Yy93quX7g6839Y3275oPAZea0rLQuK3TW61YpVymhvSukUbJxhKUXxkmDhcXWaSLtPJIj75tKaFpqo2bs-vd3ODYH8tshhoON4_Y_XH0DyLxanA</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>Fox, H</creator><creator>Seeger, F H</creator><creator>Schmitt, J</creator><creator>Potente, M</creator><creator>Dzemali, O</creator><creator>Fichtlscherer, S</creator><creator>Ehrlich, J R</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>201204</creationdate><title>Veno-arterial ECMO as bridge to recovery. 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Cardiogenic shock and suspected myocarditis in a 37-year-old patient</atitle><jtitle>Medizinische Klinik, Intensivmedizin und Notfallmedizin</jtitle><addtitle>Med Klin Intensivmed Notfmed</addtitle><date>2012-04</date><risdate>2012</risdate><volume>107</volume><issue>3</issue><spage>206</spage><pages>206-</pages><eissn>2193-6226</eissn><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. 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| fulltext | fulltext |
| identifier | EISSN: 2193-6226 |
| ispartof | Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2012-04, Vol.107 (3), p.206 |
| issn | 2193-6226 |
| language | ger |
| recordid | cdi_pubmed_primary_22349535 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | 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 |
| title | Veno-arterial ECMO as bridge to recovery. Cardiogenic shock and suspected myocarditis in a 37-year-old patient |
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