Acute and Critical Care

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Successful percutaneous coronary intervention with extracorporeal membrane oxygenation support after right coronary artery dissection in an eisenmenger syndrome patient: Byung Gyu Kim, Sung Woo Cho, Jong Chun Nah; Acute Crit Care. 2020;35(1):46-50. Published online November 6, 2018; DOI: https://doi.org/10.4266/acc.2017.00024

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The presentation of coronary artery disease in a patient with Eisenmenger syndrome (ES) is relatively rare. Cardiogenic shock due to coronary artery dissection during percutaneous coronary intervention (PCI) can be more critical in these patients. Here, we report a case of successful PCI under mechanical circulation support in a patient with ES who experienced potentially fatal right coronary artery dissection. This case emphasizes that use of extracorporeal membrane oxygenation (ECMO) can lead to successful management of critical complication during PCI, and that the immediate decision to apply of ECMO is important in ES patients who face impending cardiogenic shock with acute heart failure.

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Blunt traumatic right coronary artery dissection presenting with second-degree atrioventricular block and late-onset severe cardiogenic shock
Maria Paparoupa, Lenard Conradi, Malte Lennart Warncke, Lennart Well, Christoph Burdelski, Christopher Cramer, Hanno Grahn, Mathias Kubik, Stefan Kluge
BMC Cardiovascular Disorders.2022;[Epub] CrossRef
Successful Implementation of Extracorporeal Membrane Oxygenation Support as a Bridge to Heart-Lung Transplantation in an Eisenmenger’s Syndrome Patient With Paradoxical Coronary Embolism
James Zhang, Sumit Patel, Leonardo Clavijo, David Laughrun
Journal of Investigative Medicine High Impact Case Reports.2019; 7: 232470961984657. CrossRef

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