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Cardiac recovery from COVID-19-associated fulminant myocarditis by extracorporeal biventricular assist.
Takami, Yoshiyuki; Hoshino, Naoki; Yanase, Masanobu; Tanida, Shinichi; Inada, Kenichi; Tsukamoto, Tetsuya; Amano, Kentaro; Maekawa, Atsuo; Izawa, Hideo; Takagi, Yasushi.
Afiliación
  • Takami Y; Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
  • Hoshino N; Department of Cardiology, Fujita Health University School of Medicine, Toyoake, Japan.
  • Yanase M; Department of Cardiology, Fujita Health University School of Medicine, Toyoake, Japan.
  • Tanida S; Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
  • Inada K; Department of Diagnostic Pathology, Fujita Health University School of Medicine, Toyoake, Japan.
  • Tsukamoto T; Department of Diagnostic Pathology, Fujita Health University School of Medicine, Toyoake, Japan.
  • Amano K; Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
  • Maekawa A; Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
  • Izawa H; Department of Cardiology, Fujita Health University School of Medicine, Toyoake, Japan.
  • Takagi Y; Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
J Cardiol Cases ; 27(6): 271-274, 2023 Jun.
Article en En | MEDLINE | ID: mdl-36846299
We report a case of cardiac recovery from coronavirus disease 2019 (COVID-19)-associated fulminant myocarditis in a 48-year-old woman diagnosed with COVID-19 infection 4 days before, whose hemodynamic collapse were resuscitated first with venoarterial extracorporeal membranous oxygenation, followed by escalation to extracorporeal biventricular assist devices (ex-BiVAD) using two centrifugal pumps and an oxygenator. She was likely to be multisystem inflammatory syndrome in adults (MIS-A) negative. Cardiac contractility gradually recovered after the 9th day of ex-BiVAD support, and the patient was successfully weaned from ex-BiVAD on the 12th day of support. Due to postresuscitation encephalopathy, she was transferred to the referral hospital for rehabilitation with recovered cardiac function. The histopathology of the myocardial tissue showed smaller amounts of lymphocytes and more infiltration of macrophages. It is important to recognize two phenotypes of MIS-A+ or MIS-A-, with distinct manifestations and outcomes. It is also important to refer urgently such patients with COVID-19-associated fulminant myocarditis, showing different histopathology from usual viral myocarditis, with evolution toward refractory cardiogenic shock to a center with capability for advanced mechanical support to avoid a too-late cannulation. Learning objective: We should recognize the clinical course and histopathology of the multisystem inflammatory syndrome in adults phenotype of coronavirus disease 2019-associated fulminant myocarditis. We should urgently refer such patients with evolution toward refractory cardiogenic shock to a center with capability for advanced mechanical support, such as venoarterial extracorporeal membrane oxygenation, Impella (Abiomed, Danvers, MA, USA), and extracorporeal biventricular assist devices.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: J Cardiol Cases Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: J Cardiol Cases Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón