• Anthony Alozie, Stephan Kische, Thomas Birken, Alexander Kaminski, Bernd Westphal, Gabriele Nöldge-Schomburg, Hüseyin Ince, and Gustav Steinhoff.
• University Hospital Rostock, Heart Center, Schillingallee 35, 18057 Rostock, Germany. Electronic address: uju77de@yahoo.de.
• Heart Lung Circ. 2014 Oct 1;23(10):e217-21.

AbstractCardiogenic shock following acute myocardial infarction is associated with high mortality rate. Different management concepts including fluid management, inotropic support, intra aortic balloon counterpulsation (IABP) and extracorporeal membrane oxygenation (ECMO) mainly in mechanically ventilated patients have been used as cornerstones of management. However, success rates have been disappointing. Few reports suggested that ECMO when performed under circumvention of mechanical ventilation, may offer some survival benefits. We herein present our experience with the use of veno-arterial ECMO as bridge to recovery in an awake and spontaneously breathing patient after left main coronary artery occlusion complicated by cardiogenic shock.Copyright © 2014 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

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