Mechanical assist and transplantation for treatment of giant cell myocarditis.
A case of Epstein-Barr virus-related acute giant cell myocarditis in a 16-year-old boy is reported. Fulminant heart failure was successfully treated with extracorporeal membrane oxygenation as a bridge to urgent heart transplantation, and was again necessary after transplantation because of acute right heart failure. Clinical management and postoperative surveillance of this unusual problem are presented and discussed.
Seeburger
Joerg
J
Heart Center Leipzig, Struempelstrasse 39, Leipzig, Germany. seej@med.uni-leipzig.de
Doll
Nicolas
N
Doll
Susanne
S
Borger
Michael Andrew
MA
Mohr
Friedrich Wilhelm
FW
D000293:Adolescent; D001706:Biopsy; D003937:Diagnosis, Differential; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005500:Follow-Up Studies; D015726:Giant Cells / Q000473:pathology*; D016027:Heart Transplantation / Q000379:methods*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000628:therapy*; D009206:Myocardium / Q000473:pathology*