Successful management of fulminant myocarditis with left ventricular assist device: report of a severe case

We report a 65-year-old man with fulminant myocarditis undergoing percutaneous cardiopulmonary support (PCPS) and left ventricular assist device (LVAD). PCPS and intra-aortic balloon pumping was initially introduced for cardiogenic shock in the emergency department. We switched to LVAD because cardi...

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Veröffentlicht in:	Annals of thoracic and cardiovascular surgery 2010-02, Vol.16 (1), p.48-51
Hauptverfasser:	Unosawa, Satoshi, Hata, Mitsumasa, Sezai, Akira, Niino, Tetsuya, Yoshitake, Isamu, Shimura, Kazuma, Takamori, Tatsuya, Minami, Kazutomo
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Heart-Assist Devices Humans Intra-Aortic Balloon Pumping Male Multiple Organ Failure - etiology Multiple Organ Failure - therapy Myocarditis - complications Myocarditis - diagnostic imaging Myocarditis - physiopathology Myocarditis - therapy Radiography Recovery of Function Severity of Illness Index Shock, Cardiogenic - etiology Shock, Cardiogenic - therapy Time Factors Treatment Outcome
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Zusammenfassung:	We report a 65-year-old man with fulminant myocarditis undergoing percutaneous cardiopulmonary support (PCPS) and left ventricular assist device (LVAD). PCPS and intra-aortic balloon pumping was initially introduced for cardiogenic shock in the emergency department. We switched to LVAD because cardiac function did not recover despite PCPS for 5 days. Cardiac function then gradually improved, and the device was successfully weaned after 11 days of the LVAD support. He was discharged on postoperative day 63 with no complications. We here report the appropriate timing of LVAD application for fulminant myocarditis.
ISSN:	2186-1005