Survival of a patient who received extracorporeal membrane oxygenation due to postoperative myocardial infarction: A case report

作     者：Qian-Qian Wang Yi Jiang Jian-Gang Zhu Ling-Wei Zhang Hong-Jie Tong Peng Shen 

作者机构：Department of Intensive Care UnitThe First Hospital of JiaxingJiaxing 314001Zhejiang ProvinceChina Department of OsteologyThe First Hospital of JiaxingJiaxing 314001Zhejiang ProvinceChina Department of Intensive Care UnitAffiliated Jinhua Hospital Zhejiang University School of MedicineJinhua 321000Zhejiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第32期

页      面：11861-11868页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by The Science and Technology Project of Jiaxing,No.2020AD30047 and No.2019AD32231 The Key Medical Disciplines of Jiaxing,No.04-Z-08 The Key Research Project of Zhejiang Science and Technology Department,No.2020C03019 

主　　题：Noncardiac surgery Extracorporeal membrane oxygenation Cardiopulmonary resuscitation Postoperative myocardial infarction No heparinization Case report©The Author(s)2022.Published by Baishideng Publishing Group Inc.All rights reserved. 

摘      要：BACKGROUND Cardiac arrest after noncardiac surgery is a dangerous complication that may contribute to *** of the high mortality rate and many complications of cardiac arrest,it is very important to identify and correct a reversible etiology *** reporting the treatment process of this case,we aimed to broaden the diagnosis and treatment of cardiac arrest after noncardiac surgery and describe how cardiopulmonary resuscitation using extracorporeal membrane oxygenation(ECMO)can improve a patient’s chance of *** SUMMARY A 69-year-old man visited our hospital complaining of low back pain on July 12,*** resonance imaging showed lumbar disc *** hours after lumbar disc herniation surgery,the patient developed cardiac *** resuscitation was performed,and ECMO was started 60 min after the initiation of cardiopulmonary *** the etiology of early cardiac arrest after surgery,acute myocardial infarction and pulmonary embolism were considered *** on ultrasound evaluation,acute myocardial infarction appeared more *** angiography confirmed occlusion of the left anterior descending branch,and coronary artery stenting was *** artery angiography was performed to exclude pulmonary *** to heparinization during ECMO and coronary angiography,there was a large amount of oozing blood in the surgical ***,heparinfree ECMO was performed in the early stage,and routine heparinized ECMO was performed after hemorrhage ***,the patient was discharged and made a full neurologic *** For early postoperative cardiac arrest,acute myocardial infarction should be considered first,and heparin should be used with caution.