Document Detail

Emergency use of extracorporeal membrane oxygenation in a patient with post-cardiotomy myocardial stunning.
MedLine Citation:
PMID:  9000805     Owner:  NLM     Status:  MEDLINE    
Myocardial stunning refers to reversible postischemic myocardial dysfunction persisting after reperfusion. We report a patient who presented with biventricular failure, but exhibited neither definite electrocardiographic change nor elevation of serum cardiac enzyme levels in the post-cardiotomy period. The presentation was indicative of myocardial stunning. The patient's hemodynamics could not be maintained even with infusion of high doses of catecholamines. Extracorporeal membrane oxygenation successfully restored myocardial function. In conclusion, when the hemodynamic status of a patient with myocardial stunning cannot be maintained with inotropic agents, extracorporeal membrane oxygenation should be considered.
S J Wu; W J Ko; Y S Chen; S H Chu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  95     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-03-14     Completed Date:  1997-03-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  TAIWAN    
Other Details:
Languages:  eng     Pagination:  901-4     Citation Subset:  IM    
Department of Surgery, National Taiwan University Hospital, Taipei, ROC.
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MeSH Terms
Extracorporeal Membrane Oxygenation*
Heart Valve Prosthesis
Mitral Valve / surgery
Myocardial Stunning / physiopathology,  therapy*
Postoperative Complications / physiopathology,  therapy*
Rheumatic Heart Disease / surgery

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