Percutaneous atrioseptostomy for left ventricular unloading in pediatric patients in cardiogenic shock on venoarterial ECMO support

Dolader, Paola; Blasco, Pedro Betrián; Balcells, Joan; Izquierdo-Blasco, Jaume; Gran, Ferrán; Aguasca, Gerard Martí

doi:10.1016/j.rec.2021.01.010

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2021

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“…After initial stabilisation on ECMO, an atrial septostomy was carried out in the catheterisation laboratory to decompress left cavities. 7 During the same procedure, an EMB was performed, obtaining six samples from the right side of the interventricular septum. Reverse transcription polymerase chain reaction (RT-PCR) test for influenza virus were carried out in heart (n = 3), blood (n = 4) and respiratory (n = 4) samples.…”

Section: Case Reportmentioning

confidence: 99%

Influenza myocarditis in paediatric patients

2021

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Acute myocarditis is a rare but potentially fatal disease. Endomyocardial biopsy and histologic examination are key to an accurate diagnosis. Despite being an uncommon cause, Influenza A and B viruses are a well-documented aetiology. Myocarditis may complicate about 0 to 10% of influenza virus infections (0.4 to 5% in paediatric cases). The clinical presentation varies widely, from ischemic-like chest pain to fulminant myocarditis with acute hemodynamic compromise, requiring mechanical circulatory support, with high mortality in the acute phase. We report a series of paediatric patients with myocarditis due to Influenza virus, to emphasize the importance of considering this uncommon aetiology.

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Section: Case Reportmentioning

confidence: 99%