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Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy.
- Source :
-
Case Reports in Emergency Medicine . 7/2/2019, p1-8. 8p. - Publication Year :
- 2019
-
Abstract
- Eosinophilic myocarditis (EM) is a rare condition characterized by myocardial eosinophilic infiltration due to various underlying etiologies. The patient with EM may benefit from appropriate use of mechanical circulatory support (MCS) that acts as a bridge to myocardial recovery in response to effective immunosuppressive therapy. A 16-year-old boy presented with cardiogenic shock due to fulminant myocarditis, for which a percutaneous ventricular assist device (PVAD) was immediately inserted. Based on the histological diagnosis of EM, immunosuppressive therapy was immediately commenced, leading to improvement of left-ventricular ejection fraction (27% to 47%). The PVAD was successfully removed on day 7. Cardiac magnetic resonance imaging and dual-tracer myocardial scintigraphy suggested limited extent of irreversible myocardial damage. For fulminant EM, the short-term use of PVAD, together with immunosuppressive therapy guided by an immediate histological investigation, may be an effective bridging strategy to myocardial recovery. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 2090648X
- Database :
- Academic Search Index
- Journal :
- Case Reports in Emergency Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 137281115
- Full Text :
- https://doi.org/10.1155/2019/8236735