[Two cases of fulminant myocarditis with mesenteric ischemia].
Fulminant myocarditis (FM) can lead to a refractory cardiogenic shock and multiple organ failure. Mechanical circulatory support (MCS) is not infrequency required to salvage patients in a profound shock. Advanced technology in MCS such as a temporary ventricular assist device can yield improved early outcome. However, incessant mesenteric ischemia remains a challenge to be resolved even with MCS. We here-in report 2 cases of FM associated with mesenteric ischemia that was extremely difficult to diagnose and treat. Therapeutic strategy for FM with mesenteric ischemia is discussed.
Division of Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.
Shintaro
S
Katahira
Masatoshi
M
Akiyama
Yasunori
Y
Tadano
Katsuhiro
K
Hosoyama
Naoki
N
Masaki
Keisuke
K
Kanada
Tomoyuki
T
Suzuki
Satoshi
S
Kawatsu
Kiichiro
K
Kumagai
Osamu
O
Adachi
Shunsuke
S
Kawamoto
Yoshikatsu
Y
Saiki
D017809:Fatal Outcome; D005260:Female; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D065666:Mesenteric Ischemia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009205:Myocarditis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy