The patient was a 42-year-old man with acute anteroseptal myocardial infarction which
was treated with percutaneous coronary intervention at the other hospital. On the
9th hospital day, he suffered from intractable ventricular fibrillation; an extracorporeal
mambrane oxygenation (ECMO) was inserted from the femoral. The patient was then transferred
to our hospital. He was treated with catecholamines, water-loading, transfusion and
continuous renal replacement therapy for cardiac shock and acute kidney injury, although,
progressive anemia and expanding retroperitoneal hematoma remained. The results of
computed tomography and internal pressure of the bladder suggested that he should
have abdominal compartment syndrome. The ECMO was replaced from the femoral to central
cannulation, which led to successful bleeding control, and removed one week later.
The patient was treated with medications and rehabilitation therapy. Two months later,
his renal function was improved; the patient was discharged on the 105th hospital
day. Here, we report the suggestive case with some literature reviews.
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