Management of Acute Fulminant Myocarditis Using a Left Ventricular Assist Device.
- Author:
Shin Kwang KANG
1
;
Sang Soon PARK
;
Myung Hoon NA
;
Jae Hyeon YU
;
Seung Pyung LIM
;
Young LEE
;
In Whan SEONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungnam National University. Taejeon, Korea.
- Publication Type:Case Report
- Keywords:
Myocarditis;
Heart assist device
- MeSH:
Adolescent;
Atrial Appendage;
Bays;
Biopsy;
Catheters;
Chest Pain;
Extracorporeal Circulation;
Female;
Femoral Artery;
Heart Failure;
Heart-Assist Devices*;
Humans;
Immunochemistry;
Myocarditis*;
Neutralization Tests;
Polytetrafluoroethylene;
Pulmonary Edema;
Shock;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(6):490-493
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 17 year-old high school girl was admitted for anterior chest pain. Pulmonary edema and circulatory collapse progressed in spite of the medical treatment and intra-aortic balloon pump. Left ventricular assist device(LVAD, Bio-Pump, Medtronic Bio-Med, USA) was instituted under the impression of acute fulminant myocarditis. The inlet cannula was inserted in the left atrium(LA) via left submammary anterior thoracotomy. Biopsy was taken from left atrial appendage. The outlet cannula inserted to the left femoral artery using PTFE cuff. After 158 hours of extracorporeal circulation, LVAD was able to be weaned successfully with nearly normalized LV motion on echocardiogram. Coxsakievirus was identified with immunochemistry and serum neutralization test. She was discharged without any heart failure symptoms after 23 days of hopitalization.
