Severe COVID-19-associated myocarditis with cardiogenic shock - management with assist devices - a case report & review
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Severe COVID-19-associated myocarditis with cardiogenic shock - management with assist devices - a case report & review. / Noone, Stephanie; Flinspach, Armin N; Fichtlscherer, Stephan; Zacharowski, Kai; Sonntagbauer, Michael; Raimann, Florian J.
in: BMC ANESTHESIOL, Jahrgang 22, Nr. 1, 385, 12.12.2022.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Severe COVID-19-associated myocarditis with cardiogenic shock - management with assist devices - a case report & review
AU - Noone, Stephanie
AU - Flinspach, Armin N
AU - Fichtlscherer, Stephan
AU - Zacharowski, Kai
AU - Sonntagbauer, Michael
AU - Raimann, Florian J
N1 - © 2022. The Author(s).
PY - 2022/12/12
Y1 - 2022/12/12
N2 - BACKGROUND: Primary viral myocarditis associated with severe acute respiratory syndrome coronavirus 2 (SARS-Cov2) infection is a rare diagnosis.CASE PRESENTATION: We report the case of an unvaccinated, healthy patient with cardiogenic shock in the context of a COVID-19-associated myocarditis and therapy with simultaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and percutaneous left ventricular decompression therapy with an Impella. The aim of this review is to provide an overview of therapeutic options for patients with COVID-19-associated myocarditis.CONCLUSIONS: The majority of patients required a combination of two assist devices to achieve sufficient cardiac output until recovery of left ventricular ejection fraction. Due to the rapid onset of this fulminant cardiogenic shock immediate invasive bridging therapy in a specialized center was lifesaving.
AB - BACKGROUND: Primary viral myocarditis associated with severe acute respiratory syndrome coronavirus 2 (SARS-Cov2) infection is a rare diagnosis.CASE PRESENTATION: We report the case of an unvaccinated, healthy patient with cardiogenic shock in the context of a COVID-19-associated myocarditis and therapy with simultaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and percutaneous left ventricular decompression therapy with an Impella. The aim of this review is to provide an overview of therapeutic options for patients with COVID-19-associated myocarditis.CONCLUSIONS: The majority of patients required a combination of two assist devices to achieve sufficient cardiac output until recovery of left ventricular ejection fraction. Due to the rapid onset of this fulminant cardiogenic shock immediate invasive bridging therapy in a specialized center was lifesaving.
KW - Humans
KW - Shock, Cardiogenic/etiology
KW - Heart-Assist Devices
KW - Stroke Volume
KW - RNA, Viral
KW - Ventricular Function, Left
KW - COVID-19/complications
KW - SARS-CoV-2
KW - Myocarditis/complications
U2 - 10.1186/s12871-022-01890-4
DO - 10.1186/s12871-022-01890-4
M3 - SCORING: Journal article
C2 - 36503438
VL - 22
JO - BMC ANESTHESIOL
JF - BMC ANESTHESIOL
SN - 1471-2253
IS - 1
M1 - 385
ER -