Key result
Extracorporeal membrane oxygenation (ECMO) successfully established spontaneous circulation and led to recovery with intact cardiac and neurocognitive functions after 221 hours of treatment.
Why the study?
Does ECMO improve survival and recovery in a pediatric patient with fulminant myocarditis and refractory cardiac arrest?
Case Report (n=1)
Does ECMO improve survival and recovery in a pediatric patient with fulminant myocarditis and refractory cardiac arrest?
ECMO can serve as an effective rescue therapy for pediatric fulminant myocarditis complicated by refractory cardiac arrest.
Suggests potential for intact recovery after prolonged ECMO; leaves open generalizability and optimal use beyond this single case.
Fulminant myocarditis (FM) is a life-threatening disease in children. With a rapid, progressive course of deterioration, it causes refractory cardiorespiratory failure even with optimal clinical intervention. We present the case of a 9-year-old girl with FM complicated by cardiogenic shock, malignant arrhythmia, and refractory cardiac arrest. She received effective cardiopulmonary resuscitation, therapeutic hypothermia, and other supportive treatments. However, the patient rapidly worsened into pulseless ventricular tachycardia and refractory cardiac arrest. Therefore, we performed extracorporeal membrane oxygenation (ECMO) to establish spontaneous circulation after the failure of standard resuscitation measures. The girl recovered with intact cardiac and neurocognitive functions after continued ECMO treatment for 221 hours. Therefore, ECMO is an effective rescue therapeutics for FM, especially when complicated with refractory cardiac arrest.
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Li et al. (2017) conducted a case report in Fulminant myocarditis complicated by cardiogenic shock, malignant arrhythmia, and refractory cardiac arrest (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated on Recovery with intact cardiac and neurocognitive functions. Extracorporeal membrane oxygenation (ECMO) successfully established spontaneous circulation and led to recovery with intact cardiac and neurocognitive functions after 221 hours of treatment.
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