Korean J Crit Care Med.  2010 Sep;25(3):194-198. 10.4266/kjccm.2010.25.3.194.

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

• Lee JH
• Lee YO
• Min BJ
• Yoo BS
• Kim KB

• KMID: 2228208
• DOI: http://doi.org/10.4266/kjccm.2010.25.3.194

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.

Keyword

acute myocardial infarction; cardiac transplantation; cardiogenic shock; extracorporeal circulatory support

MeSH Terms

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