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J Heart Lung Transplant. 2009 Sep;28(9):984-6. doi: 10.1016/j.healun.2009.05.020.

Successive circulatory support stages: a triple bridge to recovery from fulminant myocarditis.

Author information

1
Department of Surgery, Division Cardiothoracic Surgery, Mayo Clinic Arizona, Scottsdale, Arizona 85054, USA. Jaroszewski.dawn@mayo.edu

Abstract

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.

PMID:
19716056
DOI:
10.1016/j.healun.2009.05.020
[Indexed for MEDLINE]

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