Successful use of extracorporeal membrane oxygenation in an adult patient with toxic shock-induced heart failure.

Abstract:

:Cardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotropes. Venoarterial extracorporeal membrane oxygenation (VA ECMO) was instituted as a bridge to recovery. After administration of antibiotics and intravenous immunoglobulin, the patient's condition improved and he was successfully weaned off ECMO after 6 days. The patient recovered from multiorgan failure, and left ventricular ejection fraction improved from <10% pre-ECMO to 65% 8 months after discharge. This case supports the view that VA ECMO can be used successfully to support vital organ perfusion in patients with profound but reversible cardiomyopathy attributed to TSS.

journal_name

J Intensive Care Med

authors

Gabel E,Gudzenko V,Cruz D,Ardehali A,Fink MP

doi

10.1177/0885066613517069

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

115-8

issue

2

eissn

0885-0666

issn

1525-1489

pii

0885066613517069

journal_volume

30

pub_type

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