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ABSTRACT
Title: A case report: ECMO support for Fulminant Myocarditis
Introduction:
This case report describes the use of ECMO for biventricular support for a patient diagnosed with fulminant myocarditis (FM).
Case Report:
In this case study, we discuss a patient diagnosed with FM. A 25 year old woman present to the ER at MUSC hospital complaining of three days of chest pain, nausea, and
vomiting. She had a height of 167 cm, weighed 68 kg, and had a BSA of 1.75m². Upon admission and a diagnostic cardiac catheterization, her EF was 69%. After 21 days in the hospital, she was released to go home.
Discussion:
Fulminant myocarditis (FM) is caused by the inflammation of the myocardium that results in ventricular systolic dysfunction and acute-onset heart failure. Symptoms progress
rapidly and are life threatening. Patients who are diagnosed with FM often die of sudden cardiac arrest, arrhythmias, or sever heart failure unless mechanical circulatory support is
introduced. When patients are aggressively treated with biventricular support devices, there is a 70-75% of full recovery from FM. Heart transplantation can often be avoided.
Conclusion:
This paper presents the diagnostic and clinical aspects of an FM patient. A detailed account follows the clinical presentation, methods of diagnosis, patient management,
treatment options, and the inevitable prognosis of FM. Lastly, the pathophysiological, histological, and electrophysical distinguishing features of FM are identified.
Overall, the aggressive treatment, rapid mechanical support, and extraordinary collaboration of the heart team lead to the patient’s excellent recovery.
Questions:
1. Do other ventricular support devices provide the same results as ECMO?
2. How many case of FM occur every year?
3. How did ECMO effect the patient’s other organs?
4. What are the
5. How is FM classified from other forms of myocarditis?