title: [Extended coronary dissection caused by severe polytrauma with contusio cordis : Venoarterial ECMO-assisted percutaneous coronary intervention].
abstract: Treatment of a patient with acute cardiac failure due to a contusio cordis after polytrauma by an interdisciplinary team is reported. Shortly after admission to our shock room, the patient developed cardiogenic shock caused by an extended coronary dissection. After interim cardiopulmonary resuscitation, the patient was stabilized by venoarterial extracorporeal membrane oxygenation (ECMO) and subsequent complex coronary artery intervention in the heart catheter laboratory. Despite the increased left ventricular function which enabled partial weaning from the ECMO, the patient died of multiple organ failure 10 days after admission.
authors.affiliation: Klinik für Innere Medizin I, Kardiologie, konservative Intensivmedizin, Angiologie, HSK, Dr. Horst Schmidt Kliniken GmbH - Städtisches Klinikum der Landeshauptstadt Wiesbaden und der Helios-Kliniken GmbH, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Deutschland. michael.dreher@helios-kliniken.de.
authors.forename: M
authors.initials: M
authors.lastname: Dreher
authors.affiliation: Klinik für Innere Medizin I, Kardiologie, konservative Intensivmedizin, Angiologie, HSK, Dr. Horst Schmidt Kliniken GmbH - Städtisches Klinikum der Landeshauptstadt Wiesbaden und der Helios-Kliniken GmbH, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Grawe
authors.affiliation: Anästhesiologie, Intensivmedizin und Schmerztherapie, HSK, Dr. Horst Schmidt Kliniken GmbH - Städtisches Klinikum der Landeshauptstadt Wiesbaden und der Helios-Kliniken GmbH, Wiesbaden, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Albert
authors.affiliation: Anästhesiologie, Intensivmedizin und Schmerztherapie, HSK, Dr. Horst Schmidt Kliniken GmbH - Städtisches Klinikum der Landeshauptstadt Wiesbaden und der Helios-Kliniken GmbH, Wiesbaden, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Beck
authors.affiliation: Klinik für Innere Medizin I, Kardiologie, konservative Intensivmedizin, Angiologie, HSK, Dr. Horst Schmidt Kliniken GmbH - Städtisches Klinikum der Landeshauptstadt Wiesbaden und der Helios-Kliniken GmbH, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Ferrari
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000628:therapy*; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000150:complications* / Q000628:therapy*; D057510:Endovascular Procedures; D015199:Extracorporeal Membrane Oxygenation; D017809:Fatal Outcome; D006333:Heart Failure / Q000628:therapy*; D006335:Heart Injuries / Q000150:complications* / Q000628:therapy*; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000628:therapy*
keywords: Endovascular procedures; Multiple organ failure; Percutaneous coronary intervention; Resuscitation; Shock