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Out-of-hospital extra-corporeal life support implantation during refractory cardiac arrest in a half-marathon runner |
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| Authors: | Lebreton Guillaume Pozzi Matteo Luyt Charles-Edouard Chastre Jean Carli Pierre Pavie Alain Leprince Pascal Vivien Benoît |
| Affiliation: | a Service de Chirurgie Cardio-Thoracique, Hôpital Pitié-Salpêtrière, Université Pierre et Marie Curie - Paris 6, Paris, France b Service de Réanimation Médicale, Hôpital Pitié-Salpêtrière, Université Pierre et Marie Curie - Paris 6, Paris, France c SAMU de Paris, Département d’Anesthésie Réanimation, Hôpital Necker - Enfants Malades, Université Paris Descartes - Paris 5, Paris, France |
| Abstract: | For patients who present with an out-of-hospital refractory cardiac arrest, in-hospital extracorporeal life-support (ECLS) initiation represents an alternative therapy which allows significant survival. We describe here the first case of out-of-hospital ECLS implantation in a patient presenting with a refractory cardiac arrest during a road race. ECLS was initiated within the MICU ambulance 60 min after cardiac arrest and enabled restoration of cardiac output to 4.5 l min−1. Coronarography revealed a severe isolated stenosis of the right coronary artery, which was treated by angioplasty. The cardiogenic shock resolved progressively, enabling ECLS weaning within 48 h, while renal, hepatic, and respiratory functions recovered simultaneously. |
| Keywords: | Sport sudden death Refractory cardiac arrest Cardiopulmonary resuscitation Out-of-hospital ECLS |
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