Emergency use of extracorporeal membrane oxygenation in a patient with post-cardiotomy myocardial stunning
Journal
Journal of the Formosan Medical Association
Journal Volume
95
Journal Issue
12
Pages
901-904
Date Issued
1996
Author(s)
Abstract
Myocardial stunning refers to reversible postischemic myocardial dysfunction persisting after reperfusion. We report a patient who presented with biventricular failure, but exhibited neither definite electrocardiographic change nor elevation of serum cardiac enzyme levels in the post-cardiotomy period. The presentation was indicative of myocardial stunning. The patient's hemodynamics could not be maintained even with infusion of high doses of catecholamines. Extracorporeal membrane oxygenation successfully restored myocardial function. In conclusion, when the hemodynamic status of a patient with myocardial stunning cannot be maintained with inotropic agents, extracorporeal membrane oxygenation should be considered.
Subjects
cardiotomy; extracorporeal membrane oxygenator; mitral valve replacement; myocardial stunning; rheumatic heart disease
SDGs
Other Subjects
adult; article; case report; emergency medicine; extracorporeal oxygenation; female; heart function; hemodynamics; human; reperfusion injury; stunned heart muscle; Adult; Extracorporeal Membrane Oxygenation; Female; Heart Valve Prosthesis; Hemodynamic Processes; Humans; Mitral Valve; Myocardial Stunning; Postoperative Complications; Rheumatic Heart Disease
Type
journal article