| Successful treatment of acute fulminant myocarditis with double sets of extracorporeal membrane oxygenation: report of a case and review of the literature. | |
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MedLine Citation:
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PMID: 20922630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of acute fulminant myocarditis (AFM) with cardiogenic shock and hemodynamic collapse. We performed emergency extracorporeal life support (ECLS) with right femoral venoarterial cannulation by Seldinger procedure. Because of poor systemic perfusion over the upper trunk with low O₂ saturation due to inadequate venous return, a second ECLS was applied 16 hours after the first ECLS with right subclavian venoarterial cannulation by cut-down procedure. Total flow of both ECLS sets can achieve a flow of up to 6-8 l/min without massive destruction of blood cells. Combined with supportive intravenous immunoglobulin (IVIG) treatment, cardiac function recovered well and the ECLS sets were removed one-by-one. Follow-up studies one year after admission showed good cardiac systolic function and no sequelae of AFM. |
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Authors:
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Chin-Ta Lin; Po-Shun Hsu; Bao-Chung Chen; Guo-Jieng Hong; Chien-Sung Tsai |
Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2010-10-04 |
Journal Detail:
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Title: The Thoracic and cardiovascular surgeon Volume: 58 ISSN: 1439-1902 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 433-5 Citation Subset: IM |
Copyright Information:
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© Georg Thieme Verlag KG Stuttgart · New York. |
Affiliation:
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Department of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Extracorporeal Membrane Oxygenation* Hemodynamics Humans Immunoglobulins, Intravenous / administration & dosage Intra-Aortic Balloon Pumping Male Myocarditis / complications, physiopathology, surgery* Recovery of Function Shock / etiology, surgery Shock, Cardiogenic / etiology, surgery Treatment Outcome Ventricular Function, Left Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Immunoglobulins, Intravenous |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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