Key result
Orthotopic cardiac transplantation was successfully performed in a 13-day-old infant with out-of-hospital cardiac arrest secondary to enteroviral myocarditis, who remained alive and well 1 year later.
Why the study?
Does orthotopic cardiac transplantation improve survival in an infant with out-of-hospital cardiac arrest secondary to enteroviral myocarditis?
Case Report (n=1)
Does orthotopic cardiac transplantation improve survival in an infant with out-of-hospital cardiac arrest secondary to enteroviral myocarditis?
Cardiac transplantation is a viable treatment option for infants with enteroviral myocarditis who fail to recover and remain dependent on inotropic support after out-of-hospital cardiac arrest.
Answers are grounded in this paper and cite their sources.
May support transplantation in select refractory neonatal cases; leaves open generalizability and need for larger confirmatory series.
We report the case of a 13-day-old infant with enteroviral myocarditis surviving an out-of-hospital cardiac arrest. She underwent orthotopic cardiac transplantation three months later. A year after the transplantation, she is alive and well. Enteroviral infection is common in neonates with high mortality in cases of enteroviral myocarditis. Cardiac transplantation is a treatment option for infants who fail to recover and remain dependent on inotropic support. This is the first report of an infant with out-of-hospital cardiac arrest secondary to enteroviral myocarditis surviving up to cardiac transplantation.
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McGovern et al. (2014) conducted a case report in Out-of-hospital cardiac arrest secondary to enteroviral myocarditis (n=1). Orthotopic cardiac transplantation was evaluated on Survival. Orthotopic cardiac transplantation was successfully performed in a 13-day-old infant with out-of-hospital cardiac arrest secondary to enteroviral myocarditis, who remained alive and well 1 year later.
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