Ueno Katsuhito, Konishi Toshio, Fukata Mutsumu, Furukawa Hiroshi, Usui Tatsuya, Kato Ken-ichi
Division of Cardiovascular Surgery, Yokohama Rosai Hospital, Kozukue-machi 3211, Kohoku-ku, Yokohama 222-0036.
J Cardiol. 2003 May;41(5):249-54.
A previously healthy 28-year-old woman was admitted under a diagnosis of acute myocarditis. Six hours after admission, circulatory support using intraaortic balloon pumping and percutaneous cardiopulmonary support were introduced, because uncontrollable ventricular arrhythmia appeared unexpectedly. Subsequently, decreased peripheral platelet count appeared, in spite of improved hemodynamics. Therefore, a left ventricular assist device was implanted and she was weaned from the percutaneous cardiopulmonary support. On the fifth postoperative day, she was successfully weaned from the left ventricular assist device with full recovery of myocardial function. Myocardial biopsy demonstrated the appearance of acute viral myocarditis. This case suggests that the left ventricular assist device might offer effective circulatory support for acute fulminant myocarditis.
一名既往健康的28岁女性因急性心肌炎入院。入院6小时后，由于意外出现无法控制的室性心律失常，开始使用主动脉内球囊反搏和体外膜肺氧合进行循环支持。随后，尽管血流动力学有所改善，但外周血小板计数仍出现下降。因此，植入了左心室辅助装置，她也停止了体外膜肺氧合支持。术后第5天，她成功脱离左心室辅助装置，心肌功能完全恢复。心肌活检显示为急性病毒性心肌炎。该病例提示，左心室辅助装置可能为急性暴发性心肌炎提供有效的循环支持。
