THE FIRST EXPERIENCE OF SUCCESSFUL APPLICATION OF EXTRACORPOREAL MEMBRANE OXYGENATION IN A PATIENT OPERATED ON IN ACUTE PERIOD OF MYOCARDIAL INFARCTION

Background. We demonstrate the case of the successful application of the prolonged extracorporeal membrane oxygenation (ECMO) in combination with intra-aortic balloon pumping (IABP) on the background of established cardiogenic shock in a patient operated on in the acute phase of myocardial infarction. Objective. To demonstrate the possibility of using ECMO in patients operated on in the acute phase of myocardial infarction. Material and methods. Standard surgical methods for the treatment of myocardial infarction, in combination with mechanical support devices were applied. Results. The use of ECMO in combination with IABP stabilized hemodynamics and gas exchange. The additional use of IABP reduced afterload and decreased the strain on the left ventricular wall and established adequate ventricular drainage with the control of pulmonary edema. Conclusions. The first experience of using ECMO in combination with IABP in HCI of "GRCHC" in a patient with acute myocardial infarction and cardiogenic shock gives promising results.