ST-Elevation Myocardial Infarction with Cardiogenic Shock Rescued by Use of Extracorporeal Membrane Oxygenation: A Case Report and Literature Review

Cardiogenic shock is the leading cause of death in patients with acute myocardial infarction (AMI) despite aggressive treatment modalities such as fibrinolysis and percutaneous transluminal coronary angioplasty. We report our experience with a case of ST segment elevation AMI complicated with refractory cardiogenic shock and ventricular tachyarrhythmia even after successful revascularization using hemodynamic support with the extracorporeal membrane oxygenation (ECMO). This patient was weaned from ECMO, survived and discharged from hospital. The purpose of the ECMO is to restore the systemic perfusion while intra-aortic balloon pump failed and to avoid severe injury to the organs, and to allow time for intrinsic recovery of the heart, thus, improving the chance of survival.