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Reversal of Myocardial Dysfunction Due to Brain Injury

Cardiothoracic Surgery, University Hospital Cologne
¹ Institute of Forensic Medicine, University Hospital Jena, Germany

For reprint information contact: Jens Wippermann, MD Tel: 49 221 478 3707 Fax: 49 221 478 4186 Email: jens.wippermann{at}uk-koeln.de, Department of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937 Cologne, Germany.

Severe myocardial dysfunction after blunt head injury is a rare but potentially lethal complication. We describe remarkable myocardial recovery after severe hemodynamic deterioration in a young man with brain injury, due to extracorporeal membrane oxygenation support. Because of the severity of brain damage, the patient succumbed after diagnosis of brain death. Postmortem histopathological examination of the heart showed severe myocardial necrosis.