title: [Bridge to recovery with ventricular assist device support for eosinophilic myocarditis].
abstract: A 39-year-old man initially presented with cough, fever, and shortness of breath. His symptom got worse gradually, and he was admitted to a nearby hospital. Echocardiography revealed a dilated left ventricle and severe left ventricular dysfunction. Despite inotropic and intra-aortic balloon pumping (IABP) support, the patient developed cardiogenic shock with fever of unknown origin, followed by multi-organ failure. A left-ventricular assist device (LVAD) was implanted. Pathologic evaluation showed an extensive eosinophil-rich inflammatory infiltrate, and consistent with the diagnosis of eosinophilic myocarditis. After high-dose steroid administration, the cardiac function improved and explantation of the LVAD was successfully performed. The patient was discharged and remains well at the 24-month follow-up.
authors.affiliation: Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Suematsu
authors.forename: Sei
authors.initials: S
authors.lastname: Morizumi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Okamura
authors.forename: Shigeyoshi
authors.initials: S
authors.lastname: Gon
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Shimizu
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kawata
mesh_terms: D000328:Adult; D004452:Echocardiography; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery