Cardiac Transplantation for a Patient with Intra-aortic Balloon Pump and Extracorporeal Membrane Oxygenator due to Cardiogenic Shock after Acute Myocardial Infarction: A Case Report.
10.4266/kjccm.2010.25.3.194
- Author:
Jae Hang LEE
1
;
Young Ok LEE
;
Byoung Ju MIN
;
Byung Su YOO
;
Ki Bong KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
acute myocardial infarction;
cardiac transplantation;
cardiogenic shock;
extracorporeal circulatory support
- MeSH:
Aged;
Chest Pain;
Dyspnea;
Electric Impedance;
Extracorporeal Membrane Oxygenation;
Heart Transplantation;
Hemodynamics;
Humans;
Male;
Membranes;
Myocardial Infarction;
Oxygenators, Membrane;
Percutaneous Coronary Intervention;
Perfusion;
Resuscitation;
Shock, Cardiogenic
- From:The Korean Journal of Critical Care Medicine
2010;25(3):194-198
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 66-year-old male patient who suffered from chest pain and dyspnea was admitted to our hospital. He was diagnosed as having an acute myocardial infarction, and recovered from cardiogenic shock after cardiopulmonary-cerebral resuscitation. Under the support of extracorporeal membrane oxygenator (ECMO) he underwent successful percutaneous coronary intervention. After this, an intra-aortic balloon pump (IABP) was inserted to increase coronary perfusion and reduce the impedance to left ventricular ejection. After 6 days, the patient was weaned from ECMO support; however, IABP therapy and infusion of inotropic agents were required to maintain adequate hemodynamic status. One week later, cardiac transplantation was performed successfully without major complications.
