Document Detail

Successful treatment of acute fulminant myocarditis with double sets of extracorporeal membrane oxygenation: report of a case and review of the literature.
MedLine Citation:
PMID:  20922630     Owner:  NLM     Status:  MEDLINE    
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.
Chin-Ta Lin; Po-Shun Hsu; Bao-Chung Chen; Guo-Jieng Hong; Chien-Sung Tsai
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-10-04
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  58     ISSN:  1439-1902     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-05     Completed Date:  2011-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  433-5     Citation Subset:  IM    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Department of Cardiovascular Surgery, Tri-Service General Hospital, Taipei, Taiwan.
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MeSH Terms
Acute Disease
Extracorporeal Membrane Oxygenation*
Immunoglobulins, Intravenous / administration & dosage
Intra-Aortic Balloon Pumping
Myocarditis / complications,  physiopathology,  surgery*
Recovery of Function
Shock / etiology,  surgery
Shock, Cardiogenic / etiology,  surgery
Treatment Outcome
Ventricular Function, Left
Young Adult
Reg. No./Substance:
0/Immunoglobulins, Intravenous

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