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J Intensive Care Med · Jul 2017
Case ReportsLeft Heart Decompression in Acute Complicated Myocardial Infarction During Extracorporeal Membrane Oxygenation.
- Seok In Lee, So Young Lee, Chang Hyu Choi, Kook Yang Park, and Chul-Hyun Park.
- 1 Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
- J Intensive Care Med. 2017 Jul 1; 32 (6): 405-408.
AbstractAcute myocardial infarction (AMI) can progress to cardiogenic shock and mechanical complications. When extracorporeal membrane oxygenation (ECMO) is applied to a patient with AMI with cardiogenic shock and mechanical complications, left ventricular (LV) decompression is an important recovery factor because LV dilation increases myocardial wall stress and oxygen consumption. The authors present the case of a 72-year-old man with AMI and LV dilation who developed cardiogenic shock and papillary muscle rupture and who was treated successfully by ECMO with a left atrial venting.
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