A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation

Anto Sahayaraj R,Cherian K.M,Colaco Sylvia M,Raghavan Subramanyam

doi:10.5348/ijcri-201726-cr-10765

Abstract

A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation

Highlights

Fulminant acute myocarditis (FAM) occurs rapidly, causes pump failure or lethal arrhythmias, sometimes leading to death by cardiogenic shock
Case Report: We hereby present a three-year-old girl, previously asymptomatic, who developed rapid onset tachycardia, hypotension and cardiorespiratory arrest following an episode of respiratory tract infection
The patient was treated with antiarrhythmic drugs, inotropes, and cardioversion after being diagnosed as atrial tachycardia, but the rhythm did not revert to sinus rhythm

Summary

Introduction

Fulminant acute myocarditis (FAM) occurs rapidly, causes pump failure or lethal arrhythmias, sometimes leading to death by cardiogenic shock. The patient was treated with antiarrhythmic drugs, inotropes, and cardioversion after being diagnosed as atrial tachycardia, but the rhythm did not revert to sinus rhythm. Due to deteriorating condition patient was put on extra corporeal membrane oxygenation (ECMO) and supported for 131 hours along with supportive and IVIG treatment. Patient was discharged on 17th day of admission in a stable condition with an ejction fraction of 58%. Conclusion: Timely extracorporeal membrane oxygenation (ECMO) support in fulminant acute myocarditis (FAM). Com Received: 18 September 2016 Accepted: 21 October 2016 Published: 01 February 2017 with refractory atrial tachycardia and shock due to myocarditis, along with medical treatment could prevent lethal outcomes. A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation.

INTRODUCTION

Findings

DISCUSSION

CONCLUSION