title: Complete Recovery From Severe Tachycardia-Induced Cardiomyopathy in a Patient With Ebstein's Anomaly.
abstract: We report the case of a young patient with repaired Ebstein's anomaly who developed severe tachycardia-induced cardiomyopathy and a large apical thrombus as a consequence of sustained atrial flutter with a 2:1 conduction. In spite of a dramatic course in hospital with prolonged mechanical resuscitation and extracorporeal membrane oxygenation, she survived and made a rapid and full recovery. This remarkable case underlines that atrial arrhythmias, the most common complication in adults with congenital heart disease, may have devastating outcomes when timely recognition is missed and treatment delayed-thus, emphasizing the importance of good patient education.
authors: Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland.
authors: Simon F
authors: SF
authors: Stämpfli
authors: Division of Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
authors: André
authors: A
authors: Plass
authors: Department of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
authors: Andrea
authors: A
authors: Müller
authors: Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland matthias.greutmann@usz.ch.
authors: Matthias
authors: M
authors: Greutmann
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D009202:Cardiomyopathies / Q000175:diagnosis / Q000209:etiology*; D004437:Ebstein Anomaly / Q000175:diagnosis* / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D020127:Recovery of Function; D012720:Severity of Illness Index; D013610:Tachycardia / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult
keywords: Ebstein’s anomaly; atrial flutter; atrial tachycardia; cardiomyopathy; resuscitation; ventricular thrombus