TRANSPORTATION OF THE PATIENT WITH REFRACTORY CARDIOGENIC SHOCK IN THE SETTING OF VENO-ARTERIAL EXTRACORPORAL MEMBRANE OXYGENATION

Abstract

In the present article we describe a clinical case with onsite placing of veno-arterial extracorporeal membranous oxygenation in a patient with the acute myocardial infarction complicated by refractory cardiogenic shock. It allowed to stabilize his status and transport in a specialized medical institution to carry out a coronary angiography and myocardial revascularization to arrest cardiogenic shock and to achieve restoration of myocardial function and switch off ECMO. The course of disease was complicated by combined stroke with cerebral failure development and fatal outcome.

Keywords

• extracorporeal membrane oxygenation
• acute myocardial infarction
• refractory cardiogenic shock