title: [Veno-arterial ECMO as bridge to recovery. Cardiogenic shock and suspected myocarditis in a 37-year-old patient].
abstract: We report a case of a 37-year-old patient presenting with fulminant cardiogenic shock, almost noncontractile ventricles, followed by electromechanical dissociation. During performance of cardiopulmonary resuscitation, a veno-arterial extracorporeal membrane oxygenation device (VA ECMO) was implanted, which became necessary for 13 days. Subsequently, a total arrest of ventricular function was observed and prominent multiple organ failure emerged. A rapid test for respiratory syncytial virus was positive, supporting the suspected diagnosis of myocarditis. Despite numerous complications, complete recovery was achieved.
authors.affiliation: Zentrum der Inneren Medizin, Medizinische Klinik III Kardiologie/Nephrologie/Angiologie, Klinikum der Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Fox
authors.forename: F H
authors.initials: FH
authors.lastname: Seeger
authors.forename: J
authors.initials: J
authors.lastname: Schmitt
authors.forename: M
authors.initials: M
authors.lastname: Potente
authors.forename: O
authors.initials: O
authors.lastname: Dzemali
authors.forename: S
authors.initials: S
authors.lastname: Fichtlscherer
authors.forename: J R
authors.initials: JR
authors.lastname: Ehrlich
mesh_terms: D000328:Adult; D018450:Disease Progression; D004452:Echocardiography; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods; D007362:Intensive Care Units; D007677:Kidney Function Tests; D007902:Length of Stay; D008111:Liver Function Tests; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000628:therapy; D009205:Myocarditis / Q000175:diagnosis / Q000628:therapy*; D006435:Renal Dialysis / Q000379:methods; D018357:Respiratory Syncytial Virus Infections / Q000175:diagnosis / Q000628:therapy; D012151:Resuscitation / Q000379:methods; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000628:therapy*; D012815:Signal Processing, Computer-Assisted