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Case Reports

Use of ECMO to Temporize Circulatory Instability During Severe Brugada Electrical Storm

^a Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wisconsin
^b Department of Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin

Accepted for publication January 27, 2009.

^_* Address correspondence to Dr Pagel, Clement J. Zablocki Veterans Affairs Medical Center, Anesthesia Service, 5000 W National Ave, Milwaukee, WI 53295 (Email: pspagel{at}mcw.edu).

We describe the use of extracorporeal membrane oxygenation to temporize circulatory instability during almost incessant ventricular fibrillation in a patient with Brugada syndrome who had electively discontinued chronic amiodarone therapy. The extracorporeal membrane oxygenation was continued for 3 days after emergent delivery of the neonate, during which time the number of ventricular fibrillation episodes and internal defibrillations markedly decreased concomitant with administration of intravenous amiodarone and verapamil. Oral anti-arrhythmic therapy was subsequently reinstituted, and the remainder of the patient's hospital course was uneventful.