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Shifts in serum lactate levels and the cardiac index (CI) over the clinical course in a 66‐year‐old man with refractory septic shock caused by pneumonia. Circulatory failure was prolonged despite conventional treatment. Veno‐arterial extracorporeal membrane oxygenation (V‐A ECMO) was initiated on day 3 and he recovered from circulatory failure with decreasing serum lactate levels and increasing CI during V‐A ECMO support. IABP, intra‐aortic balloon pump.
