Prolonged Cardiogenic Shock Due to Hydrogen Sulfide Intoxication Requiring Long-Term Venoarterial Extracorporeal Membrane Support

• Published in: JACC. Case reports Vol. 4; no. 21; pp. 1389 - 1393
• Main Authors: Berg Hansen, Kristoffer, Christensen, Steffen, Birkelund, Thomas, Dalgaard, Frederik, Wiggers, Henrik
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 02.11.2022; Elsevier
• Subjects: biventricular heart failure; cardiogenic shock; Cardiovascular; Case Report; H2S; hydrogen sulfide; manure gas; VA-ECMO; Svo2; RV; Spo2; H2S; ECG; LVEF; PCWP; cardiogenic shock; LV; TAPSE; PEA; manure gas; hydrogen sulfide; biventricular heart failure; HBOT; VA-ECMO; Sp o 2; left ventricular ejection fraction; electrocardiogram; pulseless electrical activity; venoarterial extracorporeal membrane oxygenation; Sv o 2; H 2S; central venous oxygen saturation; left ventricular; right ventricular; pulmonary capillary wedge pressure; peripheral oxygen saturation; tricuspid annular plane systolic excursion; hyperbaric oxygen therapy
• ISSN: 2666-0849; 2666-0849
• DOI: 10.1016/j.jaccas.2022.05.035

We describe a case of severe biventricular failure and cardiovascular collapse following exposure to the manure gas hydrogen sulfide. Initial tests indicated uncoupling of cellular bioenergetics in addition to myocardial damage. Cardiopulmonary support with venoarterial extracorporeal membrane oxygenation was initiated, and the patient could be successfully weaned from support after 28 days. (Level of Difficulty: Advanced.) [Display omitted]