Leontiadis Evangelos, Morshuis Michiel, Arusoglu Latif, Cobaugh Dagmar, Koerfer Reiner, El-Banayosy Aly
Department of Thoracic and Cardiovascular Medicine, Heart and Diabetes Center North-Rhine Westphalia, Ruhr-University of Bochum, Bad Oeynhausen, Germany.
Ann Thorac Surg. 2008 Dec;86(6):1982-5. doi: 10.1016/j.athoracsur.2008.04.092.
The clinical manifestation and natural history of myocarditis range is variable from asymptomatic stages to intractable circulatory compromise and death. Supportive therapy is paramount in the treatment of this condition. The use of mechanical circulatory support as bridge-to-recovery or bridge-to-transplantation in cases of cardiovascular collapse is often the only therapeutic option for these patients. We report the case of an adolescent boy with toxic myocarditis, due to cannabis abuse, who was supported with a Thoratec left ventricular assist device (Thoratec Laboratories Corp, Pleasanton, CA) for 96 days before device removal.
心肌炎的临床表现和自然病程差异很大，从无症状阶段到难以治疗的循环功能障碍及死亡。支持性治疗在这种疾病的治疗中至关重要。对于心血管功能衰竭的病例，使用机械循环支持作为恢复桥梁或移植桥梁通常是这些患者唯一的治疗选择。我们报告了一例因滥用大麻导致中毒性心肌炎的青少年男性病例，该患者在移除设备前使用Thoratec左心室辅助装置（Thoratec实验室公司，加利福尼亚州普莱森顿）支持了96天。
