Key result
15-day ECMO successfully resuscitates a patient with cardiogenic shock and hibernating myocardium following emergent CABG.
Why the study?
Long-term ECMO support for resuscitation of intractable hibernating myocardium after coronary artery bypass grafting has not been well documented.
Case Report (n=1)
No
Long-term ECMO support can be an effective resuscitation strategy for patients with cardiogenic shock and intractable hibernating myocardium following surgical revascularization.
May enable recovery in refractory post-CABG cardiogenic shock with hibernating myocardium; hypothesis-generating and warrants prospective evaluation.
We report our experience of long-term extracorporeal membrane oxygenator (ECMO) support to resuscitate a 62-year-old man who had critical three-vessel disease of coronary artery complicating intractable hibernating myocardium (HM) and sudden cardiogenic shock. Intra-aortic balloon pump and ECMO were deployed to restore the circulatory support while emergent revascularization surgery was performed.The patient was weaned from ECMO successfully after 15 days of support and discharged with recovered left ventricular function. ECMO is effective in resuscitation of patients with cardiogenic shock and HM. To our knowledge the present case necessitated the longest term of ECMO support to get rid of HM.
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Morimoto et al. (2011) conducted a case report in Intractable hibernating myocardium and cardiogenic shock (n=1). Extracorporeal membrane oxygenator (ECMO) was evaluated on Successful weaning from ECMO and recovery of left ventricular function. Long-term (15-day) extracorporeal membrane oxygenator support successfully resuscitated a patient with cardiogenic shock and intractable hibernating myocardium following emergent coronary artery bypass grafting.
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