Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy

We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Cae...

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Autores principales: Marceau, Aude, McGinnis, Justin M., Derakhshan, Fatemeh, Liu, Yi Ariel, Sathananthan, Gnalini, Sosa Cazales, Ana Clara, Grewal, Jasmine, Ignaszewski, Andrew, Joa, Elisabet, Luong, Michael, Toma, Mustafa, Virani, Sean A., Seidman, Michael A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063655/
https://www.ncbi.nlm.nih.gov/pubmed/32159091
http://dx.doi.org/10.1016/j.cjco.2019.02.001
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author Marceau, Aude
McGinnis, Justin M.
Derakhshan, Fatemeh
Liu, Yi Ariel
Sathananthan, Gnalini
Sosa Cazales, Ana Clara
Grewal, Jasmine
Ignaszewski, Andrew
Joa, Elisabet
Luong, Michael
Toma, Mustafa
Virani, Sean A.
Seidman, Michael A.
author_facet Marceau, Aude
McGinnis, Justin M.
Derakhshan, Fatemeh
Liu, Yi Ariel
Sathananthan, Gnalini
Sosa Cazales, Ana Clara
Grewal, Jasmine
Ignaszewski, Andrew
Joa, Elisabet
Luong, Michael
Toma, Mustafa
Virani, Sean A.
Seidman, Michael A.
author_sort Marceau, Aude
collection PubMed
description We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Caesarean section and initiation of emergency mechanical circulatory support. A cardiac biopsy revealed a mixed eosinophilic and histiocytic infiltrate. After a course of steroid therapy, she experienced full recovery. Both the patient and the infant are alive and well. The case highlights the success of modern interdisciplinary care, as well as ongoing gaps in our knowledge of myocarditis.
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spelling pubmed-70636552020-03-10 Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy Marceau, Aude McGinnis, Justin M. Derakhshan, Fatemeh Liu, Yi Ariel Sathananthan, Gnalini Sosa Cazales, Ana Clara Grewal, Jasmine Ignaszewski, Andrew Joa, Elisabet Luong, Michael Toma, Mustafa Virani, Sean A. Seidman, Michael A. CJC Open Case Report We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Caesarean section and initiation of emergency mechanical circulatory support. A cardiac biopsy revealed a mixed eosinophilic and histiocytic infiltrate. After a course of steroid therapy, she experienced full recovery. Both the patient and the infant are alive and well. The case highlights the success of modern interdisciplinary care, as well as ongoing gaps in our knowledge of myocarditis. Elsevier 2019-02-19 /pmc/articles/PMC7063655/ /pubmed/32159091 http://dx.doi.org/10.1016/j.cjco.2019.02.001 Text en © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Marceau, Aude
McGinnis, Justin M.
Derakhshan, Fatemeh
Liu, Yi Ariel
Sathananthan, Gnalini
Sosa Cazales, Ana Clara
Grewal, Jasmine
Ignaszewski, Andrew
Joa, Elisabet
Luong, Michael
Toma, Mustafa
Virani, Sean A.
Seidman, Michael A.
Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
title Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
title_full Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
title_fullStr Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
title_full_unstemmed Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
title_short Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy
title_sort interdisciplinary approach to an unusual case of myocarditis in pregnancy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063655/
https://www.ncbi.nlm.nih.gov/pubmed/32159091
http://dx.doi.org/10.1016/j.cjco.2019.02.001
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