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Chirurgia 2020 October;33(5):265-8

DOI: 10.23736/S0394-9508.19.05033-2

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Successful use of venoarterial extracorporeal membrane oxygenation in acute myocarditis due to necrotizing fasciitis

Akshay KUMAR 1 , Suresh KESHAVAMURTHY 2, Rishabh HUMAR 2, Jesus GOMEZ ABRAHAM 1, Yoshiya TOYODA 1

1 Temple University Hospital, Philadelphia, PA, USA; 2 University of Kentucky, Lexington, KY, USA



Venoarterial extracorporeal membrane oxygenation (VA-ECMO) has become an established modality to provide cardiopulmonary support due to postcardiotomy cardiogenic shock or myocardial infarction. We herein describe its expanding indications in management of patients with myocarditis from trauma and sepsis. A young male with fulminant necrotizing fasciitis following trauma to the right lower limb developed complications of septic cardiomyopathy and thereby intraoperative cardiac arrest while preparing for surgical debridement. We successfully managed to salvage his limb and life using VA-ECMO and a multidisciplinary team-based approach.


KEY WORDS: Extracorporeal membrane oxygenation; Cardiogenic shock; Necrotizing fasciitis; Soft tissue infections

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