Venoarterial Extracorporeal Life Support in Circulatory Shock Secondary to Severe Vasoplegia from Ramipril Overdose.

Management of angiotensin-converting enzyme inhibitors (ACEIs) overdose is historically challenging. We present the case of an overdose which was successfully managed with the utilization of venoarterial extracorporeal life support. This represents a novel mechanism of treatment. Further, the pharmacology of ACEI overdose is reviewed in the context of treatment with venoarterial extracorporeal life support.