Case
Report |
Successful Management of Fulminant Myocarditis with Left Ventricular Assist Device: Report of a Severe Case |
| Satoshi Unosawa, MD, Mitsumasa Hata, MD, Akira Sezai, MD, Tetsuya Niino, MD, Isamu Yoshitake, MD, Kazuma Shimura, MD, Tatsuya Takamori, MD, and Kazutomo Minami, MD |
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| We report a 65-year-old man with fulminant myocarditis undergoing percutaneous cardiopulmonary support (PCPS) and left ventricular assist device (LVAD). PCPS and intra-aortic balloon pumping was initially introduced for cardiogenic shock in the emergency department. We switched to LVAD because cardiac function did not recover despite PCPS for 5 days. Cardiac function then gradually improved, and the device was successfully weaned after 11 days of the LVAD support. He was discharged on postoperative day 63 with no complications. We here report the appropriate timing of LVAD application for fulminant myocarditis.
(Ann Thorac Cardiovasc Surg 2010; 16: 48-51) |
| Key words: fulminant myocarditis, left ventricular assist device, percutaneous cardiopulmonary support |
Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan
Received August 21, 2008; accepted for publication February 9, 2009.
Address reprint requests to Satoshi Unosawa, MD: Department of Cardiovascular Surgery, Nihon University School of Medicine, 30–1 Ooyaguchi-kami-machi, Itabashi-ku, Tokyo 173–8610, Japan. |
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