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Left Heart Decompression in Acute Complicated Myocardial Infarction During Extracorporeal Membrane Oxygenation

Authors
Lee, Seok InLee, So YoungChoi, Chang HyuPark, Kook YangPark, Chul-Hyun
Issue Date
Jul-2017
Publisher
SAGE PUBLICATIONS INC
Keywords
myocardial infarction; shock; extracorporeal life support
Citation
JOURNAL OF INTENSIVE CARE MEDICINE, v.32, no.6, pp.405 - 408
Journal Title
JOURNAL OF INTENSIVE CARE MEDICINE
Volume
32
Number
6
Start Page
405
End Page
408
URI
https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5935
DOI
10.1177/0885066617696851
ISSN
0885-0666
Abstract
Acute myocardial infarction (AMI) can progress to cardiogenic shock and mechanical complications. When extracorporeal membrane oxygenation (ECMO) is applied to a patient with AMI with cardiogenic shock and mechanical complications, left ventricular (LV) decompression is an important recovery factor because LV dilation increases myocardial wall stress and oxygen consumption. The authors present the case of a 72-year-old man with AMI and LV dilation who developed cardiogenic shock and papillary muscle rupture and who was treated successfully by ECMO with a left atrial venting.
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College of Medicine (Department of Medicine)
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