Successful cardiac resuscitation with extracorporeal membrane oxygenation in the setting of persistent ventricular fibrillation: a case report

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dc.contributor.authorGolian, Mehrdad
dc.contributor.authorFreed, Darren
dc.contributor.authorJassal, Davinder S
dc.contributor.authorRavandi, Amir
dc.date.accessioned2014-11-17T20:03:53Z
dc.date.available2014-11-17T20:03:53Z
dc.date.issued2014-11-04
dc.date.updated2014-11-17T20:03:54Z
dc.description.abstractAbstract Background Extracorporeal membrane oxygenation (ECMO) technology is a viable option for short-term support in the setting of acute cardiac ischemia. To supplement cardiopulmonary resuscitation (CPR) in select patients, ECMO is used successfully for witnessed in hospital cardiac arrest. In the setting of an acute myocardial infarction (MI), bridging to a revascularization procedure is important in improving overall survival. Case presentation We describe the first known case of a 56-year-old Caucasian male with an anterior ST elevation myocardial infarction (STEMI) who underwent percutaneous coronary intervention (PCI) in which the entire procedure was carried out with the patient being in persistent ventricular fibrillation (VF) resistant to defibrillation on ECMO support. Subsequent to revascularization, the patient’s cardiac rhythm converted back to sinus rhythm with a single defibrillation shock with excellent neurologic recovery. Conclusion Our case highlights the importance of early initiation of ECMO during PCI in achieving both improved cardiac and neurological outcomes during an acute coronary syndrome (ACS).
dc.description.versionPeer Reviewed
dc.identifier.citationBMC Research Notes. 2014 Nov 04;7(1):782
dc.identifier.doihttp://dx.doi.org/10.1186/1756-0500-7-782
dc.identifier.urihttp://hdl.handle.net/1993/28569
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderMehrdad Golian et al.; licensee BioMed Central Ltd.
dc.titleSuccessful cardiac resuscitation with extracorporeal membrane oxygenation in the setting of persistent ventricular fibrillation: a case report
dc.typeJournal Article
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