Weaning from mechanical support in a patient with acute heart failure and multiple sclerosis.
We describe a 19-year-old woman developing acute left ventricular heart failure during her first exacerbation of multiple sclerosis. Histopathologic examination of myocardial tissue showed extensive myocytolysis. A left ventricular assist device was implanted. Three months later the cardiac function was restored and the left ventricular assist device was explanted. After 1 year the patient still remains well and her cardiac function is normal.
Kjellman
U W
UW
Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Hallgren
P
P
Bergh
C H
CH
Lycke
J
J
Oldfors
A
A
Wiklund
L
L
D000208:Acute Disease; D000328:Adult; D020878:Device Removal; D005260:Female; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*