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Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy
Joint Authors
Hasegawa-Tamba, Saki
Sugi, Keiki
Gatate, Yodo
Sugiyama, Kanako
Muramatsu, Toshihiro
Nishimura, Shigeyuki
Yasuda, Masanori
Fukushima, Kenji
Nakano, Shintaro
Source
Case Reports in Emergency Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Eosinophilic myocarditis (EM) is a rare condition characterized by myocardial eosinophilic infiltration due to various underlying etiologies.
The patient with EM may benefit from appropriate use of mechanical circulatory support (MCS) that acts as a bridge to myocardial recovery in response to effective immunosuppressive therapy.
A 16-year-old boy presented with cardiogenic shock due to fulminant myocarditis, for which a percutaneous ventricular assist device (PVAD) was immediately inserted.
Based on the histological diagnosis of EM, immunosuppressive therapy was immediately commenced, leading to improvement of left-ventricular ejection fraction (27% to 47%).
The PVAD was successfully removed on day 7.
Cardiac magnetic resonance imaging and dual-tracer myocardial scintigraphy suggested limited extent of irreversible myocardial damage.
For fulminant EM, the short-term use of PVAD, together with immunosuppressive therapy guided by an immediate histological investigation, may be an effective bridging strategy to myocardial recovery.
American Psychological Association (APA)
Hasegawa-Tamba, Saki& Sugi, Keiki& Gatate, Yodo& Sugiyama, Kanako& Muramatsu, Toshihiro& Nishimura, Shigeyuki…[et al.]. 2019. Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy. Case Reports in Emergency Medicine،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1135979
Modern Language Association (MLA)
Hasegawa-Tamba, Saki…[et al.]. Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy. Case Reports in Emergency Medicine No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1135979
American Medical Association (AMA)
Hasegawa-Tamba, Saki& Sugi, Keiki& Gatate, Yodo& Sugiyama, Kanako& Muramatsu, Toshihiro& Nishimura, Shigeyuki…[et al.]. Successful Bridge-to-Recovery Treatment in a Young Patient with Fulminant Eosinophilic Myocarditis: Roles of a Percutaneous Ventricular Assist Device and Endomyocardial Biopsy. Case Reports in Emergency Medicine. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1135979
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135979