Send to

Choose Destination
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

Department of Surgery, Division Cardiothoracic Surgery, Mayo Clinic Arizona, Scottsdale, Arizona 85054, USA.


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.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center