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DOI: 10.1055/s-2005-873064
© Georg Thieme Verlag KG Stuttgart · New York
Mechanical Circulatory Support for Profound Cardiac Circulatory Shock Status Due to Postoperative Pulmonary Artery Bleeding
Publication History
Received August 1, 2005
Publication Date:
26 April 2006 (online)
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Abstract
A 77-year-old patient suffering from life-threatening pulmonary artery bleeding after pulmonary lobectomy was resuscitated but had refractory cardiogenic shock after the bleeding was controlled. We used mechanical circulatory support with extracorporeal membrane oxygenation and intra-aortic balloon pump to overcome the hemorrhagic shock-related cardiac suppression and multi-organ injury in the post-resuscitation critical period.
Key words
ECMO - hemorrhagic shock - lung cancer - postoperative complication
References
- 1 Morales D, Madigan J, Cullinane S. et al . Reversal by vasopressin of intractable hypotension in the late phase of hemorrhagic shock. Circulation. 1999; 100 226-229
- 2 Kern K B, Hilwig R W, Rhee K H. et al . Myocardial dysfunction after resuscitation from cardiac arrest: an example of global myocardial stunning. J Am Coll Cardiol. 1996; 28 232-240
- 3 Gunnewiek J M, van der Hoeven J G. Cardiac troponin elevations among critically ill patients. Curr Opin Crit Care. 2004; 10 342-346
- 4 Peterffy A, Henze A. hemorrhagic complications during pulmonary resection. A retrospective review of 1428 resections with 113 hemorrhagic episodes. Scand J Thorac Cardiovasc Surg. 1983; 17 283-287
- 5 Iguidbashian J P, Follette D M, Contino J P. et al . Improved myocardial function using cardiopulmonary support in resuscitation for hemorrhagic shock. Arch Surg. 1994; 129 1013-1017
- 6 Radovancevic B, Eichstaedt H C, Tamez D. et al . Prolonged controlled hemorrhagic shock in a swine model: is there a role for mechanical circulatory assistance?. Asaio J. 2003; 49 721-726
- 7 Chen Y S, Chao A, Yu H Y. et al . Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation. J Am Coll Cardiol. 2003; 41 197-203
MD Yung-Chie Lee
Department of Surgery
National Taiwan University Hospital
7 Chung-Shan S. Rd.
Taipei 100
Taiwan
Phone: + 8862231234565070
Fax: + 886 2 23 93 08 77
Email: wuj@ha.mc.ntu.edu.tw