Abstract
A 46-year-old woman with generalized convulsions following sudden loss of consciousness was transferred to the nearest hospital. Urgent coronary angiography was performed on suspicion of acute myocardial infarction. Intra-aortic balloon pumping was started to treat an unstable circulation. Cardiopulmonary arrest (CPA) occurred during examination and cardiopulmonary resuscitation was started. The electrocardiographic diagnosis was ventricular fibrillation. The coronary lesion was intact, but an aortic valve stenosis was indicated. A pump oxygenator was conveyed from our hospital by specialized medical staff in an ambulance-type emergency response vehicle to the nearest hospital. The patient immediately recovered to regular sinus rhythm after introduction of a percutaneous cardiopulmonary support system (PCPS). An aortic valve replacement was performed at our hospital. The post-operative clinical course was uneventful and almost full recovery was achieved. We consider that an ambulance-type emergency response vehicle is very effective, both in conveyance of specialized large-sized medical equipment and dispatch of a specialized medical team. Routine preparation and construction of an investment framework are important for a device carrying special large-sized apparatus in vehicles, a fellow passenger’s appointment, etc.
