Extracorporeal Cardiopulmonary Resuscitation in Acute Fulminant Myocarditis: A Case Report and Review of the Literature

Jesus Andres Rodriguez-Coronado; Jesus Arturo Saldivar-Martinez; Rene Daniel Gomez-Gutierrez; Guillermo Quezada-Valenzuela; Maria Veronica Contreras-Cepeda; Ramon Gerardo Sanchez-Cortes; Miguel A. Paz-Gonzalez; Mario Alberto Castillo-Treviño; Enrique G. Villarreal

doi:10.1055/s-0040-1709499

Journal of Pediatric Intensive Care, Inhaltsverzeichnis

J Pediatr Intensive Care 2020; 09(04): 299-303
DOI: 10.1055/s-0040-1709499

Case Report

Extracorporeal Cardiopulmonary Resuscitation in Acute Fulminant Myocarditis: A Case Report and Review of the Literature

Jesus Andres Rodriguez-Coronado

¹Department of Pediatric Intensive Care, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Jesus Arturo Saldivar-Martinez

¹Department of Pediatric Intensive Care, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Rene Daniel Gomez-Gutierrez

¹Department of Pediatric Intensive Care, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Guillermo Quezada-Valenzuela

²Department of Cardiovascular Surgery, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Maria Veronica Contreras-Cepeda

²Department of Cardiovascular Surgery, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Ramon Gerardo Sanchez-Cortes

³Department of Pediatric Cardiology, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Miguel A. Paz-Gonzalez

⁴Department of Pathology, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Mario Alberto Castillo-Treviño

¹Department of Pediatric Intensive Care, Hospital Christus Muguerza Alta Especialidad, Nuevo Leon, México

,

Enrique G. Villarreal

⁵Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo Leon, Mexico

› Institutsangaben

Abstract

Fulminant myocarditis is a life-threatening fast progressive condition. We present a 7-year-old female patient admitted with a diagnosis of acute myocarditis with a rapidly progressive cardiac dysfunction despite conventional vasoactive and inotropic treatment. The patient presented with ventricular fibrillation and subsequent cardiac arrest. Cardiopulmonary resuscitation (CPR) was performed during 105 minutes before extracorporeal membrane oxygenation (ECMO) cannulation was performed. Effective hemodynamic function was obtained, and ECMO was weaned after 7 days, without neurological complications. There are not established extracorporeal cardiopulmonary resuscitation (eCPR) treatment criteria, and some international guidelines consider up to 100 minutes of “low flow” phase as a time limit to start the support. Some mortality risk factors for ECMO treatment mortality are female gender, renal failure, and arrhythmias. Pre-ECMO good prognostic factors are high levels of pH and blood lactate.

Keywords

extracorporeal membrane oxygenation - myocarditis - cardiopulmonary resuscitation - risk factor - prognostic factors

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Referenzen

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