TY - JOUR
T1 - Successive Circulatory Support Stages
T2 - A Triple Bridge to Recovery from Fulminant Myocarditis
AU - Jaroszewski, Dawn E.
AU - Marranca, Michael C.
AU - Pierce, Christopher N.
AU - Wong, Raymond K.
AU - Steidley, Eric D.
AU - Scott, Robert L.
AU - DeValeria, Patrick A.
AU - Arabia, Francisco
PY - 2009/9
Y1 - 2009/9
N2 - Fulminant myocarditis with rapid onset of symptoms and hemodynamic compromise is a rare indication for mechanical support. Because of the potentially reversible nature of this illness, advanced mechanical circulatory support is warranted to achieve recovery or as a bridge to transplantation. Circulatory device options currently available allow for a phased implementation of support modalities in a manner that reduces costs and patient risk. We present a patient with fulminant myocarditis where extracorporeal membrane oxygenation (ECMO) support escalated to short-term Levitronix CentriMag (Levitronix, Waltham, MA) biventricular assist devices (BiVADs). These in turn were exchanged, without major surgery, to long-term paracorporeal VADs (Thoratec, Pleasanton, CA). After rehabilitation and nearly total recovery, the patient was weaned from mechanical circulatory support after 104 cumulative days.
AB - Fulminant myocarditis with rapid onset of symptoms and hemodynamic compromise is a rare indication for mechanical support. Because of the potentially reversible nature of this illness, advanced mechanical circulatory support is warranted to achieve recovery or as a bridge to transplantation. Circulatory device options currently available allow for a phased implementation of support modalities in a manner that reduces costs and patient risk. We present a patient with fulminant myocarditis where extracorporeal membrane oxygenation (ECMO) support escalated to short-term Levitronix CentriMag (Levitronix, Waltham, MA) biventricular assist devices (BiVADs). These in turn were exchanged, without major surgery, to long-term paracorporeal VADs (Thoratec, Pleasanton, CA). After rehabilitation and nearly total recovery, the patient was weaned from mechanical circulatory support after 104 cumulative days.
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U2 - 10.1016/j.healun.2009.05.020
DO - 10.1016/j.healun.2009.05.020
M3 - Article
C2 - 19716056
AN - SCOPUS:68949207815
SN - 1053-2498
VL - 28
SP - 984
EP - 986
JO - Journal of Heart and Lung Transplantation
JF - Journal of Heart and Lung Transplantation
IS - 9
ER -