Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy

We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Cae...

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Veröffentlicht in:CJC open 2019, Vol.1 (2), p.103-105
Hauptverfasser: Marceau, Aude, McGinnis, Justin M, Derakhshan, Fatemeh, Liu, Yi Ariel, Sathananthan, Gnalini, Sosa Cazales, Ana Clara, Grewal, Jasmine, Ignaszewski, Andrew, Joa, Elisabet, Luong, Michael, Toma, Mustafa, Virani, Sean A, Seidman, Michael A
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container_end_page 105
container_issue 2
container_start_page 103
container_title CJC open
container_volume 1
creator Marceau, Aude
McGinnis, Justin M
Derakhshan, Fatemeh
Liu, Yi Ariel
Sathananthan, Gnalini
Sosa Cazales, Ana Clara
Grewal, Jasmine
Ignaszewski, Andrew
Joa, Elisabet
Luong, Michael
Toma, Mustafa
Virani, Sean A
Seidman, Michael A
description We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Caesarean section and initiation of emergency mechanical circulatory support. A cardiac biopsy revealed a mixed eosinophilic and histiocytic infiltrate. After a course of steroid therapy, she experienced full recovery. Both the patient and the infant are alive and well. The case highlights the success of modern interdisciplinary care, as well as ongoing gaps in our knowledge of myocarditis.
doi_str_mv 10.1016/j.cjco.2019.02.001
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title Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
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