Fulminant heart failure due to giant cell myocarditis affecting the left ventricle

A 56-year-old woman, previously healthy, was hospitalized after an episode of ventricular tachycardia in the course of infection. In view of the fulminant course of heart failure the patient was connected to an extracorporeal membrane oxygenation (ECMO) system. After 3 weeks of treatment with ECMO t...

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Detalles Bibliográficos
Autores principales: Senderek, Tomasz, Małecka, Barbara, Ząbek, Andrzej, Rudnicka-Sosin, Lucyna, Wierzbicki, Karol, Przybyłowski, Piotr, Bednarek, Jacek, Lelakowski, Jacek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4679810/
https://www.ncbi.nlm.nih.gov/pubmed/26677392
http://dx.doi.org/10.5114/pwki.2015.55613
Descripción
Sumario:A 56-year-old woman, previously healthy, was hospitalized after an episode of ventricular tachycardia in the course of infection. In view of the fulminant course of heart failure the patient was connected to an extracorporeal membrane oxygenation (ECMO) system. After 3 weeks of treatment with ECMO the patient received a heart transplant. A histopathological examination of the tissues of the explanted heart revealed giant cell myocarditis. The patient was treated with immunosuppression based on induction therapy followed by a standard regimen with steroids. Currently, the patient remains in good general condition with an left ventricular ejection fraction of 60%.

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