Yeen Wing C, Haas Garrie, Mehmood Syed A, Crestanello Juan A
Division of Cardiac Surgery, The Ohio State University Medical Center, Columbus, OH, USA.
Interact Cardiovasc Thorac Surg. 2011 May;12(5):829-31. doi: 10.1510/icvts.2010.250035. Epub 2011 Feb 5.
Giant cell myocarditis (GCM) is a fatal form of myocarditis that often presents with acute heart failure. An inflammatory infiltrate with giant cells and myocardial necrosis is characteristic. During the acute presentation, mechanical circulatory support may be necessary for hemodynamic support while immunosuppression is initiated. We report a case of GCM relapse which was supported with veno-arterial membrane oxygenation until recovery. The patient is doing well one year after explantation.
巨细胞性心肌炎（GCM）是一种致命的心肌炎形式，常表现为急性心力衰竭。其特征为伴有巨细胞的炎性浸润和心肌坏死。在急性发作期间，开始免疫抑制治疗时可能需要机械循环支持以维持血流动力学稳定。我们报告一例GCM复发病例，该病例在接受静脉-动脉膜肺氧合支持后康复。患者在心脏移植术后一年情况良好。
