Cytomegalovirus Myocarditis Required Extracorporeal Membrane Oxygenation Support Followed by Ganciclovir Treatment in Infant.
10.5090/kjtcs.2016.49.3.199
- Author:
Bong Jun KIM
1
;
Jo Won JUNG
;
Yu Rim SHIN
;
Han Ki PARK
;
Young Hwan PARK
;
Hong Ju SHIN
Author Information
1. Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Congenital Heart Disease Center, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Korea. babymedi@naver.com
- Publication Type:Case Report
- Keywords:
Myocarditis;
Extracorporeal membrane oxygenation;
Extracorporeal circulation;
Infant
- MeSH:
Cytomegalovirus*;
Extracorporeal Circulation;
Extracorporeal Membrane Oxygenation*;
Female;
Ganciclovir*;
Heart;
Humans;
Infant*;
Myocardial Contraction;
Myocarditis*;
Polymerase Chain Reaction;
Reference Values;
Stroke Volume
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(3):199-202
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 7-month-old girl with no medical history was treated with mechanical circulatory support due to myocarditis. Her cardiac contractility did not improve despite more than one week of extracorporeal membrane oxygenation treatment. Thus, we planned a heart transplant. However, a high level of cytomegalovirus was found in blood laboratory results by quantitative polymerase chain reaction. The patient's heart contractility recovered to normal range four days after ganciclovir treatment. She was discharged with slightly decreased cardiac contractility with a left ventricular ejection fraction of 45%.