title: Left Heart Decompression in Acute Complicated Myocardial Infarction During Extracorporeal Membrane Oxygenation.
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.
authors.affiliation: 1 Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
authors.forename: Seok In
authors.initials: SI
authors.lastname: Lee
authors.affiliation: 1 Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
authors.forename: So Young
authors.initials: SY
authors.lastname: Lee
authors.affiliation: 1 Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
authors.forename: Chang Hyu
authors.initials: CH
authors.lastname: Choi
authors.affiliation: 1 Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
authors.forename: Kook Yang
authors.initials: KY
authors.lastname: Park
authors.affiliation: 1 Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
authors.forename: Chul-Hyun
authors.initials: CH
authors.lastname: Park
mesh_terms: D000368:Aged; D002637:Chest Pain / Q000209:etiology; D019299:Decompression, Surgical; D004417:Dyspnea / Q000209:etiology; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects; D006342:Heart Rupture, Post-Infarction / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D010210:Papillary Muscles / Q000473:pathology*; D012770:Shock, Cardiogenic / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome
keywords: extracorporeal life support; myocardial infarction; shock