孕期罕见心肌炎病例的多学科诊疗方法
Interdisciplinary Approach to an Unusual Case of Myocarditis in Pregnancy.
作者信息
Marceau Aude, McGinnis Justin M, Derakhshan Fatemeh, Liu Yi Ariel, Sathananthan Gnalini, Sosa Cazales Ana Clara, Grewal Jasmine, Ignaszewski Andrew, Joa Elisabet, Luong Michael, Toma Mustafa, Virani Sean A, Seidman Michael A
机构信息
Department of Medicine, Division of Cardiology, Providence Health Care/University of British Columbia, Vancouver, British Columbia, Canada.
Department of Obstetrics and Gynaecology, Providence Health Care/University of British Columbia, Vancouver, British Columbia, Canada.
出版信息
CJC Open. 2019 Feb 19;1(2):103-105. doi: 10.1016/j.cjco.2019.02.001. eCollection 2019 Mar.
We present a case of myocarditis in a 26-year-old pregnant woman at 29 weeks gestation. Despite optimal medical therapy, she experienced a cardiac arrest 10 days postadmission. An interdisciplinary team facilitated emergency delivery of her baby by perimortem (ie, during maternal cardiac arrest) Caesarean section and initiation of emergency mechanical circulatory support. A cardiac biopsy revealed a mixed eosinophilic and histiocytic infiltrate. After a course of steroid therapy, she experienced full recovery. Both the patient and the infant are alive and well. The case highlights the success of modern interdisciplinary care, as well as ongoing gaps in our knowledge of myocarditis.
我们报告一例妊娠29周的26岁孕妇患心肌炎的病例。尽管接受了最佳的药物治疗，但她在入院后10天发生了心脏骤停。一个跨学科团队通过濒死剖宫产（即在产妇心脏骤停期间）紧急分娩了她的婴儿，并启动了紧急机械循环支持。心脏活检显示有嗜酸性粒细胞和组织细胞混合浸润。经过一个疗程的类固醇治疗，她完全康复。患者和婴儿均存活且状况良好。该病例凸显了现代跨学科护理的成功，以及我们在心肌炎知识方面仍存在的差距。
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