How to cope with the pitfalls of extracorporeal membrane oxygenation support: case report of a girl with fulminant myocarditis.
We report a successful case of extracorporeal membrane oxygenation (ECMO) support for a 7-year-old girl with acute fulminant myocarditis, and describe the pitfalls and management of ECMO. The problem with ECMO is that it may not reduce the afterload of the left ventricle (LV), and may be associated with increased LV wall stress and deteriorating pulmonary congestion. It is important for ECMO management to find the best balance between flow support and LV afterload.
Tokunaga
Shigehiko
S
Department of Cardiovascular Surgery, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. shiget@heart.med.kyushu-u.ac.jp
Morita
Shigeki
S
Masuda
Munetaka
M
Tomita
Yukihiro
Y
Nishida
Takahiro
T
Tominaga
Ryuji
R
D002648:Child; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000150:complications / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*