Cardiogenic shock is the leading cause of death for patients with acute myocardial infarction who reach the hospital alive. It affects about 6 to 8% of patients with acute myocardial infarction. [1] Despite the advantages of early intra-aortic balloon pump (IABP), fibrinolysis, percutaneous coronary intervention or coronary arterial bypass graft , once shock is diagnosed, the mortality remains high (about 50%) with half of death occurring during the first 48 hours [2]. Some studies suggested that haemodynamic and metabolic parameters could be more effectively reversed by ventricular assist device than by standard treatment with IABP [3]. In this investigation we report our experience of using extracorporeal membrane oxygenation (ECMO) to resuscitate a 60-year-old man with critical left main coronary artery disease complicated by acute myocardial infarction (AMI) and cardiogenic shock. The connection of patient to ECMO circuit was performed in an hospital other than ours and the patient was then transported to our hospital on ECMO with an Advanced Care Mobile Unit.
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