Early Use of ECMO for Refractory Kounis Syndrome Concealed by General Anesthesia-A Case Report.

ABSTRACT: A 46-year-old woman demonstrated refractory Kounis syndrome (KS) after induction of anesthesia. Despite conventional management of anaphylaxis and advanced cardiac life support, her cardiovascular function continued to deteriorate until she had a cardiac arrest, and after extracorporeal membrane oxygenation (ECMO) therapy, electrical cardiac activity reappeared. A large number of patients with KS-"allergic angina syndrome"-has been known to recover well with vasodilators; however, this patient showed antibiotics-induced refractory KS during general anesthesia. Severe bronchospasms with desaturation appeared as initial anaphylactic features; however, these did not respond to conventional treatment for anaphylaxis. Patient's hemodynamic signs eventually worsened, leading to cardiac arrest de

SUBMITTER: Yu HK 

PROVIDER: S-EPMC9227982 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature