TY - CHAP M1 - Book, Section TI - Venoarterial Extracorporeal Membrane Oxygenation for the Treatment of Acute Heart Failure A1 - Kilic, Arman A1 - Whitson, Bryan A. A1 - Kilic, Ahmet A2 - Baliga, R. R. A2 - Abraham, William T. Y1 - 2018 N1 - T2 - Color Atlas and Synopsis of Heart Failure AB - A 55-year-old man with a history of morbid obesity, uncontrolled diabetes mellitus, and smoking presented to the emergency department 48 hours after the onset of chest pain. He was in cardiogenic shock with sinus tachycardia to 120 beats per minute and hypotension with a blood pressure of 87/55 mm Hg. An electrocardiogram (ECG) showed ST elevations and an emergent cardiac catheterization was performed, which demonstrated an occluded left anterior descending artery. The occlusion could not be crossed with a wire and during the procedure the patient went into ventricular fibrillatory arrest. Immediate cardiopulmonary resuscitation was undertaken and despite numerous rounds of pharmacologic therapy and chest compressions, a perfusing rhythm and pressure were not achieved. He was placed on percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) via the femoral vein and femoral artery for acute cardiogenic shock. Over the next 7 days, he was weaned off of VA-ECMO support and was discharged home on optimal medical therapy for his coronary artery disease (CAD). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesscardiology.mhmedical.com/content.aspx?aid=1161018616 ER -