INTRODUCTION: Survival and neurologic function following prolonged cardiopulmonary resuscitation (CPR) are often poor and currently there lacks a formal recommendation for the maximum duration of resuscitative efforts. However, there have been multiple case reports of positive neurological outcomes following prolonged CPR. This case presentation helps to support and encourage the continuation of CPR in the appropriate setting and with available resources including intra-arrest percutaneous intervention (PCI) and extracorporeal membrane oxygenation (ECMO).

CONCLUSION: Prolonged CPR can result in favorable patient outcomes if done promptly and effectively, utilizing all available resources including intra-arrest PCI and ECMO.