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Date Published: 16/09/2025
Abstract Views: 160
Views pdf: 116
DOI: https://doi.org/10.51298/vmj.v553i2.15344
Issue
Vol. 553 No. 2 (2025)
Section
Các bài báo
How to Cite
Ngô Đình, T., & Nguyễn Tài, T. (2025). MECHANICAL CIRCULATORY SUPPORT WITH ECMO IN REFRACTORY SEPTIC SHOCK OF SURGICAL ORIGIN: A CASE REPORT. Vietnam Medical Journal, 553(2). https://doi.org/10.51298/vmj.v553i2.15344

MECHANICAL CIRCULATORY SUPPORT WITH ECMO IN REFRACTORY SEPTIC SHOCK OF SURGICAL ORIGIN: A CASE REPORT

Trung Ngô Đình, Thu Nguyễn Tài

Main Article Content

Abstract

Septic shock is a leading cause of death in intensive care units, especially when complicated by sepsis-induced cardiomyopathy. Mechanical circulatory support can improve outcomes in refractory septic shock cases. This report presents a case of a 51-year-old female patient with a history of complex abdominal surgeries, who was admitted with severe septic shock following diffuse peritonitis due to a perforated colon. Despite intensive resuscitation, the patient developed multiple organ failure and cardiogenic shock. The patient was treated with Extracorporeal Membrane Oxygenation (ECMO) for circulatory support. After 9 days of ECMO support, her hemodynamic status and organ function significantly improved, and she was successfully weaned off ECMO and discharged after 1.5 months. This case highlights that ECMO can be a life-saving solution in severe cases of refractory septic shock due to surgical causes, and suggests a multimodal approach to treatment.

Article Details

Keywords

ECMO, septic shock, peritonitis

References

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