O4-5 - A Rare Case of Continuous Closure of The Aortic Valve in Patient with Acute Fulminant Myocarditis

Abstract

A 68-year-old male, who was diagnosed as fulminant myocarditis was transferred to our hospital. After admission, intra-aortic balloon pumping (IABP) and percutaneous cardiopulmonary support (PCPS) were introduced due to cardiogenic shock. The 3rd day, echocardiography revealed continuous closure of the aortic valve and spontaneous echo contrast on that. LV vent catheter was inserted to avoid severe pulmonary edema and irreversible LV dysfunction. After 19 days of cardiopulmonary support, His cardiac function improved gradually and he weaned from PCPS. After a termination of deep sedation, Right hemiparesis was appeared and brain CT revealed multiple cerebral infarction. Thrombus on the valve was considered to be the cause of cerebral infarction. This case suggests that the aortic valve opening is important to avoid thromboembolic complications in patients with fulminant myocarditis under PCPS.