Postpartum myocardial infarction rescued with an intraaortic balloon pump and extracorporeal membrane oxygenator.
A 37-year-old woman had postpartum myocardial infarction complicated with cardiogenic shock. The infarction was attributed to diffuse coronary artery spasm caused by methylergonovine, which had been used to treat the postpartum haemorrhage due to placenta increta. The haemodynamics could not be maintained with catecholamine infusion and intraaortic balloon counterpulsation. At last, an extracorporeal membrane oxygenator was used to save her life, and the patient was successfully weaned from the machine 100 h later; she made an uneventful recovery thereafter.
Ko
W J
WJ
Department of Surgery, National Taiwan University Hospital, Taipei.
Ho
H N
HN
Chu
S H
SH
D000328:Adult; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000379:methods*; D008755:Methylergonovine / Q000009:adverse effects* / Q000627:therapeutic use; D009203:Myocardial Infarction / Q000139:chemically induced / Q000628:therapy*; D010120:Oxytocics / Q000009:adverse effects* / Q000627:therapeutic use; D010921:Placenta Accreta / Q000150:complications; D006473:Postpartum Hemorrhage / Q000188:drug therapy / Q000209:etiology; D049590:Postpartum Period; D011247:Pregnancy; D012151:Resuscitation / Q000379:methods; D012770:Shock, Cardiogenic / Q000139:chemically induced / Q000628:therapy*
D010120:Oxytocics; D008755:Methylergonovine