2010
DOI: 10.1055/s-0029-1240836 View full text |Buy / Rent full text
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Abstract: We report a case of acute fulminant myocarditis (AFM) with cardiogenic shock and hemodynamic collapse. We performed emergency extracorporeal life support (ECLS) with right femoral venoarterial cannulation by Seldinger procedure. Because of poor systemic perfusion over the upper trunk with low O₂ saturation due to inadequate venous return, a second ECLS was applied 16 hours after the first ECLS with right subclavian venoarterial cannulation by cut-down procedure. Total flow of both ECLS sets can achieve a flow … Show more

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“…Myocarditis can cause severe hemodynamic comprise that may not be responsive to medical therapy. Mechanical circulatory support provides a reasonable treatment for acute circulatory collapse [5]. In the present case we describe a critically ill patient diagnosed with fulminant myocarditis treated with IVIG, high dose corticosteroids, broad spectrum antibiotics and requirement of mechanical assist devices resulting in resolution of left ventricular dysfunction and clinical improvement.…”
Section: Introductionmentioning
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“…Myocarditis can cause severe hemodynamic comprise that may not be responsive to medical therapy. Mechanical circulatory support provides a reasonable treatment for acute circulatory collapse [5]. In the present case we describe a critically ill patient diagnosed with fulminant myocarditis treated with IVIG, high dose corticosteroids, broad spectrum antibiotics and requirement of mechanical assist devices resulting in resolution of left ventricular dysfunction and clinical improvement.…”
Section: Introductionmentioning
“…Common viral infections associated with infection of the myocardium are the adenoviruses and Coxackievirus B, although other viruses have been associated with myocarditis such as Human Immunodeficiency Virus (HIV), Cytomegalovirus (CMV), Epstein-Barr Virus (EBV) and Herpes Simplex Virus (HSV) [2,4]. The use of Intravenous Immunoglobulin (IVIG) in the treatment of acute myocarditis is controversial, with proven efficacy in the pediatric population and minimal literature showing benefit in adults [5]. IVIG failed to consistently show significant improvement in left ventricular function or functional capacity of adult patients in randomized controlled trials [6].…”
Section: Introductionmentioning
“…Duration of support: mean 2.5-11.5 days [4 ,6, [9][10][11]13,14] (maximum 1 month) [12]. Cannulation: direct central surgical (sternotomy), peripheral (percutaneous/open) femoral, axillary, cervical (combinations) [34]. Ã Ready made rapidly deployed systems, Multifunctional Life Support Systems, minimized, hand-held ECMOs independent from wall connection points, with integrated sensors (for venous and arterial line pressures, blood temperature, haemoglobin concentration and SVO 2 ) make possible rapid support and safer transfer [16,25,26,57].…”
Section: Survival In Short-term Mechanical Circulatory Supportmentioning
“…ηελ ίδηα αλαλέσζε (ESC 2010 [18]) επηζεκάλζεθε φηη νη θαηεπζπληήξηεο νδεγίεο ζα ζπλερίζνπλ λα πθίζηαληαη ζπλερή αλαζεψξεζε, θαζψο ε ηαρχηαηε εμάπισζε εθαξκνγήο ζπζθεπψλ λέαο ηερλνινγίαο απνδίδεη ζε επξεία θιίκαθα πιένλ θαιά απνηειέζκαηα [18]. [5,6,8,43,69], επί κπνθαξδίηηδαο (νμείαο/θεξαπλνβφινπ [43,56,70,[74][75][76][77][78][79][80][81][82], ηνγελνχο [80], ηνμηθήο [70], εθ γηγαληνθπηηάξσλ [83], άιιεο [41,56,70,84,85]), επί απφπεηξαο απηνθηνλίαο κε θάξκαθα [70], επί θπθινθνξηθήο θαηάξξεπζεο ιφγσ ζπξενηνμίθσζεο [86], επί κπνθαξδηνπάζεηαο (δηαηαηηθήο [85,87-89 ηζραηκηθήο [43,90] ππεξηξνθηθήο [43] επηιφρεηαο [70,72,91] εθ ζπνγγψδνπο κπνθαξδίνπ [92], άιιεο [56,72,93]), επί καδηθήο πλεπκνληθήο εκβνιήο [1,2,9,39], επί νμείαο απνξξχζκηζεο (απψιεηαο αληηξξφπεζεο) ρξφληαο θαξδηαθήο αλεπάξθεηαο [1,2,…”
Section: δλδείμεηο θαη ζηξαηεγηθέο κεραληθήο ππνβνήζεζεο ηεο θπθινθνξίαο ζύκθσλα κε ηηο θαηεπζπληήξηεο νδεγίεοunclassified