Key result
Percutaneous extracorporeal membrane oxygenation successfully supported a 26-year-old woman with Influenza A associated fulminant myocarditis, allowing for full cardiac recovery and discharge.
Case Report (n=1)
Mechanical circulatory support can be a successful life-saving bridge to recovery in patients with fulminant myocarditis and cardiogenic shock due to Influenza A.
May support ECMO in select influenza myocarditis cases; hypothesis-generating and leaves open need for prospective data.
A 26-year-old woman was referred to an Emergency Department because of common flu-like syndrome with hemodynamic collapse. In Intensive Care Unit (ICU), she was diagnosed as a probable septic shock. But despite treatment her condition rapidly deteriorated during the subsequent hours. Diagnosis of cardiogenic shock was established. Mechanical circulatory support was inserted into the patient. She was transferred in a Cardio-Vascular Surgical ICU where at the 5th day of mechanical circulatory support, echocardiography showed heart recovery which allowed weaning of mechanical circulatory support and progressive withdrawal of inotropic support. She was discharged at the 26th day. During her hospitalization, presence of Influenza A RNA was shown in myocardial biopsy.
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Montcriol et al. (2008) conducted a case report in Influenza A associated fulminant myocarditis (n=1). Percutaneous extracorporeal membrane oxygenation (ECMO) was evaluated on Survival and heart recovery. Percutaneous extracorporeal membrane oxygenation successfully supported a 26-year-old woman with Influenza A associated fulminant myocarditis, allowing for full cardiac recovery and discharge.
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