Open AccessExtracorporeal Cardiopulmonary Resuscitation in Acute Fulminant Myocarditis: A Case Report and Review of the Literature
Author(s) -
Jesus Andres Rodriguez-Coronado,
Jesus Arturo Saldivar-Martinez,
René Gómez-Gutiérrez,
Guillermo Quezada-Valenzuela,
Maria Veronica Contreras-Cepeda,
Ramon Gerardo Sanchez-Cortes,
Miguel A. Paz-Gonzalez,
Mario Alberto Castillo-Treviño,
Enrique G. Villarreal
Publication year - 2020
Publication title -
journal of pediatric intensive care
Language(s) - English
Resource type - Journals
eISSN - 2146-4618
pISSN - 2146-4626
DOI - 10.1055/s-0040-1709499
Subject(s) - medicine , extracorporeal membrane oxygenation , extracorporeal cardiopulmonary resuscitation , fulminant , cardiopulmonary resuscitation , myocarditis , ventricular fibrillation , inotrope , resuscitation , cardiology , anesthesia , extracorporeal , intensive care medicine
Fulminant myocarditis is a life-threatening fast progressive condition. We present a 7-year-old female patient admitted with a diagnosis of acute myocarditis with a rapidly progressive cardiac dysfunction despite conventional vasoactive and inotropic treatment. The patient presented with ventricular fibrillation and subsequent cardiac arrest. Cardiopulmonary resuscitation (CPR) was performed during 105 minutes before extracorporeal membrane oxygenation (ECMO) cannulation was performed. Effective hemodynamic function was obtained, and ECMO was weaned after 7 days, without neurological complications. There are not established extracorporeal cardiopulmonary resuscitation (eCPR) treatment criteria, and some international guidelines consider up to 100 minutes of "low flow" phase as a time limit to start the support. Some mortality risk factors for ECMO treatment mortality are female gender, renal failure, and arrhythmias. Pre-ECMO good prognostic factors are high levels of pH and blood lactate.