Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis

The article describes clinical case demonstrating the feasibility of using extracorporeal circulatory support in patients with severe heart failure caused by idiopathic giant cell myocarditis. Extracorporeal membrane oxygenation, conducted over 15 days, resulted in increase left ventricular ejection...

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Main Authors: B.M. Todurov, G.I. Kovtun, A.N. Postupalsky, A.N. Druzhyna, O.A. Loskutov, I.N. Kuzmich, А.О. Shpachuk
Format: Article
Language:English
Published: TOV Chetverta Khvylia 2016-05-01
Series:Kardìohìrurgìâ ta Intervencìjna Kardìologìâ
Subjects:
Online Access:http://csic.com.ua/images/pdf/2016/2-2016/clinical-case-treatment-of-acute-heart-failure.pdf
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spelling doaj-96e778ea3f7c4adb9f84236e2a64b6d02020-11-25T02:23:55ZengTOV Chetverta KhvyliaKardìohìrurgìâ ta Intervencìjna Kardìologìâ2305-31272016-05-012 (13)3035Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditisB.M. Todurov0G.I. Kovtun1A.N. Postupalsky2A.N. Druzhyna3O.A. Loskutov4I.N. Kuzmich5А.О. Shpachuk6Heart Institute of Healthcare Ministry of Ukraine, Kyiv, Ukraine, Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, Ukraine, Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, Ukraine, Shupyk National Medical Academy of Postgraduate Education, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineHeart Institute of Healthcare Ministry of Ukraine, Kyiv, UkraineThe article describes clinical case demonstrating the feasibility of using extracorporeal circulatory support in patients with severe heart failure caused by idiopathic giant cell myocarditis. Extracorporeal membrane oxygenation, conducted over 15 days, resulted in increase left ventricular ejection fraction of 18 % to 30 %, reduction and complete cancellation of the inotropic support. Echocardiographic study showed a significant decrease in heart size (end-diastolic volume – from 100 to 90 ml, end-systolic volume – from 85 to 60 ml), as well as a reduction of the right ventricular systolic pressure from 40 to 30 mm Hg. Thus, extracorporeal membrane oxygenation is a completely justified and effective method for stabilizing hemodynamics in patients with acute idiopathic giant cell myocarditis.http://csic.com.ua/images/pdf/2016/2-2016/clinical-case-treatment-of-acute-heart-failure.pdfextracorporeal membrane oxygenationacute idiopathic giant cell myocarditis
collection DOAJ
language English
format Article
sources DOAJ
author B.M. Todurov
G.I. Kovtun
A.N. Postupalsky
A.N. Druzhyna
O.A. Loskutov
I.N. Kuzmich
А.О. Shpachuk
spellingShingle B.M. Todurov
G.I. Kovtun
A.N. Postupalsky
A.N. Druzhyna
O.A. Loskutov
I.N. Kuzmich
А.О. Shpachuk
Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
Kardìohìrurgìâ ta Intervencìjna Kardìologìâ
extracorporeal membrane oxygenation
acute idiopathic giant cell myocarditis
author_facet B.M. Todurov
G.I. Kovtun
A.N. Postupalsky
A.N. Druzhyna
O.A. Loskutov
I.N. Kuzmich
А.О. Shpachuk
author_sort B.M. Todurov
title Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
title_short Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
title_full Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
title_fullStr Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
title_full_unstemmed Clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
title_sort clinical case of the treatment of acute heart failure with extracorporeal membrane oxygenation in patients with acute idiopathic giant cell myocarditis
publisher TOV Chetverta Khvylia
series Kardìohìrurgìâ ta Intervencìjna Kardìologìâ
issn 2305-3127
publishDate 2016-05-01
description The article describes clinical case demonstrating the feasibility of using extracorporeal circulatory support in patients with severe heart failure caused by idiopathic giant cell myocarditis. Extracorporeal membrane oxygenation, conducted over 15 days, resulted in increase left ventricular ejection fraction of 18 % to 30 %, reduction and complete cancellation of the inotropic support. Echocardiographic study showed a significant decrease in heart size (end-diastolic volume – from 100 to 90 ml, end-systolic volume – from 85 to 60 ml), as well as a reduction of the right ventricular systolic pressure from 40 to 30 mm Hg. Thus, extracorporeal membrane oxygenation is a completely justified and effective method for stabilizing hemodynamics in patients with acute idiopathic giant cell myocarditis.
topic extracorporeal membrane oxygenation
acute idiopathic giant cell myocarditis
url http://csic.com.ua/images/pdf/2016/2-2016/clinical-case-treatment-of-acute-heart-failure.pdf
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