Vol 2, No 1 (2017)
Case report
Published online: 2017-03-31

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Extracorporeal membrane oxygenation as a method to manage acute cardiopulmonary failure after emergency coronary artery bypass grafting

Lukasz Czyzewski, Andrzej Kurowski
Disaster Emerg Med J 2017;2(1):45-49.

Abstract

Acute cardiopulmonary failure after emergency coronary artery bypass grafting (CABG) is a complex thera­peutic problem due to its high mortality rate. This paper reports the safety and effectiveness of extracorpor­eal membrane oxygenation (ECMO) in treating acute cardiopulmonary failure following emergency CABG. A 37-day period of mechanical circulation support and extracorporeal blood oxygenation with the ECMO method served as a bridge to recovery. At day 34 following the disconnection of ECMO, a patient with EF > 35% was transferred to a rehabilitation ward. The procedure can be successful only when the physi­cians, nurses and perfusionists of the intensive care team cooperate closely.

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