[Extracorporeal membrane oxygenation (ECMO) in acute cardiovascular failure caused by myocarditis].
Main indication for extracorporeal membrane oxygenation (ECMO) is respiratory failure in the newborn. Less frequently ECMO is used for cardiac support. We report on a 4 months old boy, who suddenly fell ill with an acute viral myocarditis and heart failure (left-ventricular shortening fraction lowered to 17%). After failure of conventional management and resuscitation (twice) due to asystolic, veno-arterial ECMO was installed for a total time of 4 days. Under ECMO there was complete recovery of left-ventricular function; the infant was discharged 1 month after admission to hospital. ECMO-therapy should not only be considered in children with respiratory failure, but also in those with potentially reversible cardiac failure.
Varnholt
V
V
Kinderklinik, Universitätsklinikum Mannheim.
Lasch
P
P
Kachel
W
W
Teufel
M
M
Suske
G
G
Liedgens
P
P
Haas
N
N
Wirth
H
H
D004452:Echocardiography; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D006323:Heart Arrest / Q000503:physiopathology / Q000628:therapy*; D006333:Heart Failure / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007223:Infant; D008297:Male; D009205:Myocarditis / Q000503:physiopathology / Q000628:therapy*; D016277:Ventricular Function, Left / Q000502:physiology; D014777:Virus Diseases / Q000503:physiopathology / Q000628:therapy*
Extrakorporale Membranoxygenierung (ECMO) bei akutem Herz-Kreislauf-Versagen infolge Myokarditis.