Severe transient left ventricular hypertrophy in an infant with acute myocarditis and heart failure.
A case of rare acute myocarditis with heart failure and transient left ventricular hypertrophy in a 4.5-month-old male infant is described. Initial echocardiogram demonstrated severe concentric left ventricular hypertrophy with depressed left ventricular systolic function and reduced left ventricular cavity. Left ventricular hypertrophy was transient; it decreased significantly within a couple of weeks concomitantly with the improvement of ejection fraction. The myocarditis resolved without sequelae. The natural course of this rare mode of presentation of myocarditis and its relationship to immunosuppressive and immunomodulatory treatment are discussed.
Kosutic
J
J
Mother and Child Health Institute, Radoja Dakica 8, 11070, Novi Beograd, Serbia and Montenegro. kosutic@EUnet.yu
D000208:Acute Disease; D015150:Echocardiography, Doppler; D006333:Heart Failure / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D007223:Infant; D008297:Male; D009205:Myocarditis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D012720:Severity of Illness Index; D013318:Stroke Volume; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis