Mechanical support for patients with fulminant acute myocarditis: strategy for biventricular failure and respiratory failure.
Acute fulminant myocarditis can cause left ventricular dysfunction that predisposes the patients to critical condition. Left ventricular assist device (LVAD) is a useful option for the patient whose condition is resistant to medical therapy. However, when right ventricular dysfunction with hypoxia is complicated with left ventricular dysfunction, it can be difficult to make a prompt decision in order to achieve better outcome. We present our case in which the support on LVAD and extracorporeal membrane oxygenation (ECMO) was effective to treat critically ill patients.
Sasaki
Hideki
H
Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan. baggio199869@gmail.com
Kawai
Akihiko
A
Kurosawa
Hiromi
H
D000328:Adult; D016638:Critical Illness; D015199:Extracorporeal Membrane Oxygenation; D006333:Heart Failure / Q000209:etiology / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000628:therapy; D008297:Male; D009205:Myocarditis / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000628:therapy*; D018497:Ventricular Dysfunction, Right / Q000209:etiology / Q000628:therapy*