title: Novel pH1N1 viral cardiomyopathy requiring veno-venous extracorporeal membrane oxygenation.
abstract: 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.
authors.affiliation: Divisions of Pediatric Cardiac Surgery, Seattle Children's Hospital, Seattle, WA, USA.
authors.forename: Sujata
authors.initials: S
authors.lastname: Subramanian
authors.forename: Jonna D
authors.initials: JD
authors.lastname: Clark
authors.forename: Howard E
authors.initials: HE
authors.lastname: Jeffries
authors.forename: D Michael
authors.initials: DM
authors.lastname: McMullan
mesh_terms: 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*