title: Veno-arterial extracorporeal membrane oxygenation for cardiogenic shock due to myocarditis in adult patients.
abstract: Myocarditis is an inflammatory disease of the heart muscle with established histological, immunological and immunohistochemical diagnostic criteria. Different triggers could be advocated as possible etiologies of myocarditis such as viral and non-viral infections, medications, systemic autoimmune diseases and toxic reactions. The spectrum of clinical presentations of myocarditis is broad and varies from subclinical asymptomatic courses to refractory cardiogenic shock. The prognosis of patients with myocarditis depends mainly on the severity of clinical presentation. In particular, myocarditis patients developing cardiogenic shock refractory to optimal maximal medical treatment may benefit from the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) as a temporary mechanical circulatory support (MCS). The aim of the present report is to offer a review of the most important articles of the literature showing the results of VA-ECMO in the specific setting of cardiogenic shock due to myocarditis in adult patients.
authors: Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, Claude Bernard University, Lyon, France ;
authors: Matteo
authors: M
authors: Pozzi
authors: Division of Cardiovascular Surgery, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva Hemodynamic Research Group, Geneva, Switzerland ;
authors: Carlo
authors: C
authors: Banfi
authors: Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, Claude Bernard University, Lyon, France ;
authors: Daniel
authors: D
authors: Grinberg
authors: Department of Anesthesia and ICU, "Louis Pradel" Cardiologic Hospital, Claude Bernard University, Lyon, France.
authors: Catherine
authors: C
authors: Koffel
authors: Intensive Care Service, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva Hemodynamic Research Group, Geneva, Switzerland.
authors: Karim
authors: K
authors: Bendjelid
authors: Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, Claude Bernard University, Lyon, France ;
authors: Jacques
authors: J
authors: Robin
authors: Intensive Care Service, Geneva University Hospitals, Faculty of Medicine, University of Geneva, Geneva Hemodynamic Research Group, Geneva, Switzerland.
authors: Raphaël
authors: R
authors: Giraud
authors: Department of Cardiac Surgery, "Louis Pradel" Cardiologic Hospital, Claude Bernard University, Lyon, France ;
authors: Jean François
authors: JF
authors: Obadia
keywords: Myocarditis; cardiogenic shock; extracorporeal membrane oxygenation (ECMO)