title: [Extracorporeal membrane oxygenation as bridge to recovery in infarction-related refractory right heart failure].
abstract: METHODS
  We present a 41-year-old man with cardiac arrest in need of cardiopulmonary resuscitation (CPR) with the diagnosis of a posterior wall infarction, who was hospitalized in our cardiac centre.
  
  
  METHODS
  The cardiac catheterization showed a thrombotic obstruction of the right coronary artery. After percutaneous coronary revascularization a hemodynamically stable situation could be achieved and the patient was admitted to the intensive care unit (ICU).
  
  
  METHODS
  The patient became again hemodynamically unstable and a CPR was required. Based on the acute right heart failure with therapy refractory cardiogenic shock we decided within our heart team for an extra corporeal membrane oxygenation (ECMO) applied during CPR in the ICU. The extracorporeal support was needed for three days. Seven days after the emergency cardiac catheterization the patient was extubated and transferred to our intermediate care.
  
  
  CONCLUSIONS
  Extracorporeal life support is feasible und effective for bridging therapy in patients with acute ischemic right heart failure with refractory cardiogenic shock and successful reperfusion therapy.
authors.affiliation: Klinik III für Innere Medizin, Herzzentrum der Uniklinik Köln, Köln.
authors.forename: G
authors.initials: G
authors.lastname: Michels
authors.forename: B
authors.initials: B
authors.lastname: Krausgrill
authors.forename: P
authors.initials: P
authors.lastname: Rahmanian
authors.forename: T
authors.initials: T
authors.lastname: Wahlers
authors.forename: S
authors.initials: S
authors.lastname: Baldus
authors.forename: R
authors.initials: R
authors.lastname: Pfister
mesh_terms: D000208:Acute Disease; D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006333:Heart Failure / Q000150:complications / Q000451:nursing* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000451:nursing* / Q000517:prevention & control*; D020360:Neoadjuvant Therapy / Q000379:methods; D020127:Recovery of Function; D016896:Treatment Outcome