Novel pH1N1 viral cardiomyopathy requiring veno-venous extracorporeal membrane oxygenation.
OBJECTIVE
To report a case of pH1N1 viral infection presenting as heart failure requiring mechanical extracorporeal life support.


METHODS
Case report.


METHODS
Pediatric intensive care unit at a regional children's hospital.


METHODS
Obese 15-yr-old boy who presented with pH1N1-related cardiomyopathy and respiratory failure that required extracorporeal membrane oxygenation.


METHODS
Extracorporeal membrane oxygenation, echocardiography, high-frequency oscillating ventilation.


RESULTS
Discovery of severe dilated cardiomyopathy and respiratory failure.


CONCLUSIONS
Patients with pH1N1 may present in profound heart failure in addition to respiratory failure. Extracorporeal membrane oxygenation may play an important role in managing these complex patients.
Subramanian
Sujata
S
Divisions of Pediatric Cardiac Surgery, Seattle Children's Hospital, Seattle, WA, USA.
Clark
Jonna D
JD
Jeffries
Howard E
HE
McMullan
D Michael
DM
D000293:Adolescent; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000628:therapy* / Q000821:virology*; D003937:Diagnosis, Differential; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification* / Q000472:pathogenicity; D007251:Influenza, Human / Q000175:diagnosis / Q000628:therapy* / Q000821:virology*; D008297:Male; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000628:therapy* / Q000821:virology*