• Eilon Gabel, Vadim Gudzenko, Daniel Cruz, Abbas Ardehali, and Mitchell P Fink.
• Department of Anesthesiology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
• J Intensive Care Med. 2015 Feb 1; 30 (2): 115-8.

AbstractCardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotropes. Venoarterial extracorporeal membrane oxygenation (VA ECMO) was instituted as a bridge to recovery. After administration of antibiotics and intravenous immunoglobulin, the patient's condition improved and he was successfully weaned off ECMO after 6 days. The patient recovered from multiorgan failure, and left ventricular ejection fraction improved from <10% pre-ECMO to 65% 8 months after discharge. This case supports the view that VA ECMO can be used successfully to support vital organ perfusion in patients with profound but reversible cardiomyopathy attributed to TSS.© The Author(s) 2013.

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