Open AccessRight ventricular dominant myocarditis requiring cardiac resynchronization therapy‐defibrillator: a case report
Author(s) -
Sato Takanori,
Iwahana Togo,
Ito Ryo,
Kondo Yusuke,
Kobayashi Yoshio
Publication year - 2021
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.13658
Subject(s) - medicine , cardiology , myocarditis , heart failure , fulminant , cardiac resynchronization therapy , ventricle , right bundle branch block , ventricular tachycardia , pulmonary embolism , cardiac function curve , electrocardiography , ejection fraction
Fulminant myocarditis is an inflammatory disease of the cardiac muscle that severely deteriorates cardiac function and often causes haemodynamic collapse in a manner similar to acute coronary syndrome. In rare cases, the myocardium of the right ventricle is dominantly damaged. In cases of lymphocytic myocarditis, a common type of fulminant myocarditis, cardiac function is often recovered after peak myocardial inflammation subsides; however, some cases show irreversible myocardial damage. Herein, we report the case of a 43‐year‐old woman with irreversible, right‐side dominant ventricular myocardial damage; she presented with various cardiopulmonary conditions including complete atrioventricular block, ventricular tachycardia, right heart failure, right ventricular thrombosis, and pulmonary embolism. The patient was successfully treated with medications and a cardiac resynchronization therapy‐defibrillator device.