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echocardiography, ecmo, cardiogenic shock, sepsis

Walid K Abu Saleh, Odeaa Aljabbari, Basel Ramlawi, Mahesh Ramchandani
We report the case of a 66-year-old woman with no significant past medical history who presented to the Emergency Department at Houston Methodist Hospital with 24 hours of chest pain. An electrocardiogram was done, an electrocardiogram confirmed a posterolateral ST elevation myocardial infarction. An immediate and successful percutaneous coronary intervention of a totally occluded ramus intermedius was performed. Six hours later she developed pulmonary edema, cardiogenic shock, severe acidosis, and anuria. Echocardiography showed severe mitral regurgitation due to a ruptured anterolateral papillary muscle, and emergency surgery revealed necrosis of this muscle...
January 2015: Methodist DeBakey Cardiovascular Journal
Leonello Avalli, Elena Maggioni, Fabio Sangalli, Giorgio Favini, Francesco Formica, Roberto Fumagalli
Extracorporeal membrane oxygenation (ECMO) is often applied for acute cardiorespiratory failure. Left ventricular distension can compromise recovery of the failing heart. To overcome this complication, we describe a new technique to decompress the left heart through the insertion of a venting cannula in the pulmonary artery. A 43-year-old woman was connected to ECMO for refractory cardiogenic shock after left pneumonia and severe sepsis. Transesophageal echocardiography (TEE) revealed a large intraventricular clot...
January 2011: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
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