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Prolonged Cardiogenic Shock Due to Hydrogen Sulfide Intoxication Requiring Long-Term Venoarterial Extracorporeal Membrane Support (JACC Case Reports November 2022)

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.

JACC Editor-in-Chief 

Julia Grapsa, MD, PhD, FACC

CME Editor 

Nadeen N. Faza, MD, FACC


Kristoffer Berg Hansen, MD


Important Dates


Date of Release: November 2, 2022
Term of Approval/Date of CME/MOC/ECME Expiration: November 1, 2023

Availability: Retired
Cost: FREE
Credit Offered:
No Credit Offered
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