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Mechanical Support for Patients with Fulminant Acute Myocarditis: Strategy for Biventricular Failure and Respiratory Failure
Author(s) -
Sasaki Hideki,
Kawai Akihiko,
Kurosawa Hiromi
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2008.00602.x
Subject(s) - medicine , extracorporeal membrane oxygenation , fulminant , myocarditis , cardiology , acute myocarditis , respiratory failure , intensive care medicine , heart failure , extracorporeal , cardiac dysfunction , acute respiratory failure , ventricular assist device , mechanical ventilation
Acute fulminant myocarditis can cause left ventricular dysfunction that predisposes the patients to critical condition. Left ventricular assist device (LVAD) is a useful option for the patient whose condition is resistant to medical therapy. However, when right ventricular dysfunction with hypoxia is complicated with left ventricular dysfunction, it can be difficult to make a prompt decision in order to achieve better outcome. We present our case in which the support on LVAD and extracorporeal membrane oxygenation (ECMO) was effective to treat critically ill patients.