Fig. 6.

Myocardial injury in patient with north-south syndrome. A patient with distributive shock secondary to sepsis from bacterial pneumonia suffered cardiac arrest and prolonged resuscitation. Serum troponin (a) was plotted as a function of time. Troponin was tracked every 6 h. Patient was placed on VA-ECMO for sepsis-induced cardiomyopathy at (1). Myocardial recovery progressed and patient developed NSS at (2). Chest X-ray of patient at hospital admission (b) and after development of NSS (c) shows significant lung injury