Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila
Background Septic shock is a subset of sepsis accompanied by profound circulatory and cellular metabolism abnormalities. Although veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) can provide temporary cardiac support to improve organ perfusion, hemodynamic support by VA‐ECMO for adult pat...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-07-01
|
| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.409 |
| _version_ | 1818950107358298112 |
|---|---|
| author | Takuto Ishida Kazuki Miyazaki Mayu Hikone Kazuhiro Sugiyama Takahiro Tanabe Yuichi Hamabe |
| author_facet | Takuto Ishida Kazuki Miyazaki Mayu Hikone Kazuhiro Sugiyama Takahiro Tanabe Yuichi Hamabe |
| author_sort | Takuto Ishida |
| collection | DOAJ |
| description | Background Septic shock is a subset of sepsis accompanied by profound circulatory and cellular metabolism abnormalities. Although veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) can provide temporary cardiac support to improve organ perfusion, hemodynamic support by VA‐ECMO for adult patients with septic shock is still controversial. Case presentation A 67‐year‐old man was transferred to our hospital with generalized weakness. He suffered septic shock refractory to vasopressors and inotropes, and his cardiac function deteriorated rapidly. Because of concern for sudden cardiac arrest, he was placed on VA‐ECMO 9 h after his arrival. Blood culture was positive for Aeromonas hydrophila. He was weaned off VA‐ECMO on day 7 and was discharged without any sequelae on day 30. Conclusion Veno‐arterial extracorporeal membrane oxygenation is a viable treatment option for adult patients with refractory septic shock accompanied by cardiac dysfunction. Further research is warranted to identify the candidates for support by VA‐ECMO in a timely fashion. |
| first_indexed | 2024-12-20T09:13:20Z |
| format | Article |
| id | doaj.art-37f95b7278e74aea8bf8fdd8094dde67 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-12-20T09:13:20Z |
| publishDate | 2019-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-37f95b7278e74aea8bf8fdd8094dde672022-12-21T19:45:29ZengWileyAcute Medicine & Surgery2052-88172019-07-016330530710.1002/ams2.409Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophilaTakuto Ishida0Kazuki Miyazaki1Mayu Hikone2Kazuhiro Sugiyama3Takahiro Tanabe4Yuichi Hamabe5Tertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Tokyo JapanTertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Tokyo JapanTertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Tokyo JapanTertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Tokyo JapanTertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Tokyo JapanTertiary Emergency Medical Center Tokyo Metropolitan Bokutoh Hospital Tokyo JapanBackground Septic shock is a subset of sepsis accompanied by profound circulatory and cellular metabolism abnormalities. Although veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) can provide temporary cardiac support to improve organ perfusion, hemodynamic support by VA‐ECMO for adult patients with septic shock is still controversial. Case presentation A 67‐year‐old man was transferred to our hospital with generalized weakness. He suffered septic shock refractory to vasopressors and inotropes, and his cardiac function deteriorated rapidly. Because of concern for sudden cardiac arrest, he was placed on VA‐ECMO 9 h after his arrival. Blood culture was positive for Aeromonas hydrophila. He was weaned off VA‐ECMO on day 7 and was discharged without any sequelae on day 30. Conclusion Veno‐arterial extracorporeal membrane oxygenation is a viable treatment option for adult patients with refractory septic shock accompanied by cardiac dysfunction. Further research is warranted to identify the candidates for support by VA‐ECMO in a timely fashion.https://doi.org/10.1002/ams2.409Aeromonas hydrophilacardiac dysfunctionseptic shockveno‐arterial extracorporeal membrane oxygenation |
| spellingShingle | Takuto Ishida Kazuki Miyazaki Mayu Hikone Kazuhiro Sugiyama Takahiro Tanabe Yuichi Hamabe Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila Acute Medicine & Surgery Aeromonas hydrophila cardiac dysfunction septic shock veno‐arterial extracorporeal membrane oxygenation |
| title | Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila |
| title_full | Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila |
| title_fullStr | Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila |
| title_full_unstemmed | Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila |
| title_short | Successful support by veno‐arterial extracorporeal membrane oxygenation for severe septic shock caused by Aeromonas hydrophila |
| title_sort | successful support by veno arterial extracorporeal membrane oxygenation for severe septic shock caused by aeromonas hydrophila |
| topic | Aeromonas hydrophila cardiac dysfunction septic shock veno‐arterial extracorporeal membrane oxygenation |
| url | https://doi.org/10.1002/ams2.409 |
| work_keys_str_mv | AT takutoishida successfulsupportbyvenoarterialextracorporealmembraneoxygenationforseveresepticshockcausedbyaeromonashydrophila AT kazukimiyazaki successfulsupportbyvenoarterialextracorporealmembraneoxygenationforseveresepticshockcausedbyaeromonashydrophila AT mayuhikone successfulsupportbyvenoarterialextracorporealmembraneoxygenationforseveresepticshockcausedbyaeromonashydrophila AT kazuhirosugiyama successfulsupportbyvenoarterialextracorporealmembraneoxygenationforseveresepticshockcausedbyaeromonashydrophila AT takahirotanabe successfulsupportbyvenoarterialextracorporealmembraneoxygenationforseveresepticshockcausedbyaeromonashydrophila AT yuichihamabe successfulsupportbyvenoarterialextracorporealmembraneoxygenationforseveresepticshockcausedbyaeromonashydrophila |