title: Relapse of giant cell myocarditis supported with veno-arterial extracorporeal membrane oxygenation.
abstract: Giant cell myocarditis (GCM) is a fatal form of myocarditis that often presents with acute heart failure. An inflammatory infiltrate with giant cells and myocardial necrosis is characteristic. During the acute presentation, mechanical circulatory support may be necessary for hemodynamic support while immunosuppression is initiated. We report a case of GCM relapse which was supported with veno-arterial membrane oxygenation until recovery. The patient is doing well one year after explantation.
authors.affiliation: Division of Cardiac Surgery, The Ohio State University Medical Center, Columbus, OH, USA.
authors.forename: Wing C
authors.initials: WC
authors.lastname: Yeen
authors.forename: Garrie
authors.initials: G
authors.lastname: Haas
authors.forename: Syed A
authors.initials: SA
authors.lastname: Mehmood
authors.forename: Juan A
authors.initials: JA
authors.lastname: Crestanello
mesh_terms: D000328:Adult; D001706:Biopsy; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D015726:Giant Cells / Q000276:immunology*; D006333:Heart Failure / Q000276:immunology / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D009205:Myocarditis / Q000276:immunology / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D009206:Myocardium / Q000276:immunology* / Q000473:pathology; D009336:Necrosis; D012008:Recurrence; D016896:Treatment Outcome; D016276:Ventricular Function
chemical_list: D007166:Immunosuppressive Agents