1996
DOI: 10.1111/j.1525-1594.1996.tb04579.x
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Abstract: Although the natural history of acute myocarditis leads to complete recovery in the majority of patients, rapid and irreversible cardiac decompensation resulting in death is known to occur. One possible therapy to improve the poor prognosis of this patient group may be the implantation of circulatory support systems that allow myocardial recovery or bridging to heart transplantation. Therapeutic protocols have been suggested, but clinical experiences in this area are few. In this paper we report on our clinica… Show more

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Cited by 43 publications
(20 citation statements)
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“…Nevertheless complete recovery can ensue if the patient is successfully supported during the acute phase of the illness [1][2][3][4][5][6][7][8][9][10][11]. Mechanical circulatory support is a life saving approach and must be considered before multi-organ failure, but there are still many questions concerning diagnosis, time of implantation, device selection, peri-operative management and the usefulness of immunosuppressive therapy.…”
Section: Introductionmentioning
confidence: 99%
“…Nevertheless complete recovery can ensue if the patient is successfully supported during the acute phase of the illness [1][2][3][4][5][6][7][8][9][10][11]. Mechanical circulatory support is a life saving approach and must be considered before multi-organ failure, but there are still many questions concerning diagnosis, time of implantation, device selection, peri-operative management and the usefulness of immunosuppressive therapy.…”
Section: Introductionmentioning
confidence: 99%
“…Indications for LVAD include: cardiac index < 2.0L/min/m2, central venous pressure or left atrial pressure >20, and urine output <20mL/hour despite maximal pharmacological therapy. 13 Furthermore, the disease may be so progressive that both right and left ventricular assist devices may be needed, such as in this case presented here. Indications for a BiVAD are renal, hepatic, and pulmonary dysfunction, seen with our patient.…”
Section: Discussionmentioning
confidence: 86%
“…LVADs have been used for this purpose with success in the acute postcardiotomy setting [44](although some concern exists regarding bypass graft patency during LVAD support [45]), as well as in patients with acute myocarditis and peripartum cardiomyopathy [46, 47, 48, 49, 50]. However, despite the experimental evidence for reverse remodeling during LVAD support, the clinical significance for patients with chronic HF remains uncertain.…”
Section: Use Of Assist Devices As a ‘Bridge To Recovery’mentioning
confidence: 99%