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Rescue extracorporeal membrane oxygenation in a young man with a stab wound in the chest

2014; Elsevier BV; Volume: 45; Issue: 9 Linguagem: Inglês

10.1016/j.injury.2014.06.008

1879-0267

Giuseppe Gatti, Gabriella Forti, Alessandro Bologna, Gianfranco Sagrati, Gianfranco Gustin, Renata Korcova, Elisabetta Benci, Luca Visintin,

Mechanical Circulatory Support Devices

A 27-year-old man with haemorrhagic shock and acute cardiac tamponade due to a stab in the chest underwent successful resuscitation and surgical repair of the right ventricular perforation thanks to the use of extracorporeal membrane oxygenation (ECMO) in the emergency department. To the best of the authors' knowledge, this is the first report around the use of ECMO to rescue a victim of a penetrating cardiac trauma. The physicians who have portable ECMO device should be aware of this option when a life-threatening internal bleeding in haemodynamically unstable patients could be quickly controlled by surgery, even if performed in ill-suited settings.