Use of ECMO to temporize circulatory instability during severe Brugada electrical storm. Ann Thorac Surg 2009 Sep;88(3):982-3
Date
08/25/2009Pubmed ID
19699933DOI
10.1016/j.athoracsur.2009.01.066Scopus ID
2-s2.0-68849087139 (requires institutional sign-in at Scopus site) 29 CitationsAbstract
We describe the use of extracorporeal membrane oxygenation to temporize circulatory instability during almost incessant ventricular fibrillation in a patient with Brugada syndrome who had electively discontinued chronic amiodarone therapy. The extracorporeal membrane oxygenation was continued for 3 days after emergent delivery of the neonate, during which time the number of ventricular fibrillation episodes and internal defibrillations markedly decreased concomitant with administration of intravenous amiodarone and verapamil. Oral anti-arrhythmic therapy was subsequently reinstituted, and the remainder of the patient's hospital course was uneventful.
Author List
Pagel PS, Lilly RE, Nicolosi ACMESH terms used to index this publication - Major topics in bold
Anti-Arrhythmia AgentsAtrial Fibrillation
Brugada Syndrome
Cesarean Section
Combined Modality Therapy
Extracorporeal Membrane Oxygenation
Female
Heart Failure
Hemodynamics
Humans
Hypoxia
Infant, Newborn
Male
Pacemaker, Artificial
Pregnancy
Pregnancy Complications, Cardiovascular
Recurrence
Young Adult
