PMC5694204_01
Series of chest X-rays: (A) on admission; (B) 48 hours post-ECMO; and (C) before weaning.. Abbreviation: ECMO, extracorporeal membrane oxygenation.
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ECG showed multiple induced ventricular premature repeatedly occurred. Chest X-ray demonstrated cardiomegaly (cardiothoracic ratio: 60%) (Figure 1A). Echocardiography showed globally reduced wall motion, a severely dilated ventricular cavity with wall thickening, atrioventricular valve regurgitation, and severe left ventricular dysfunction with ejection fraction (EF) of 37% and fractional shortening (FS) of 16%. Chest X-ray showed aggravating pulmonary edema (Figure 1B). With the improvement in the chest radiograph (Figure 1C), she was successfully weaned off CMV and extubated after 3 days.
Timeframe of the case.. Abbreviations: d, days; ECMO, extracorporeal membrane oxygenation; h, hours.
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The patient was discharged from the hospital on the 35th day after admission when EF improved to 55% with normal chest radiograph, echocardiography results, and hemodynamics (Figure 2).