Extracorporeal Membrane Oxygenation as a Bridge between Transfer and Perioperative Periods in Refractory Cardiogenic Shock Secondary to a Large Left Atrial Myxoma
Keywords:atrial myxoma, refractory cardiogenic shock, extracorporeal membrane oxygenation
A 63-year-old man was admitted for acute left heart failure after doing farm work. He rapidly developed refractory cardiogenic shock due to a large left atrial myxoma which was found by bedside echocardiography. Venoarteriovenous extracorporeal membrane oxygenation (ECMO) was performed immediately, and the patient was transferred for further surgery with a good outcome. Therefore, timely echocardiographic evaluation and surgical removal of myxomas is recommended, and ECMO could be used as a bridge between the transfer and perioperative period.
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