TY  - JOUR
A1  - Noone, Stephanie
A1  - Flinspach, Armin Niklas
A1  - Fichtlscherer, Stephan
A1  - Zacharowski, Kai
A1  - Sonntagbauer, Michael
A1  - Raimann, Florian
T1  - Severe COVID-19-associated myocarditis with cardiogenic shock – management with assist devices – a case report & review
T2  - BMC anesthesiology
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.
KW  - Myocarditis
KW  - SARS-COV-2
KW  - Extracorporeal membrane oxygenation
KW  - Critical care
KW  - Heart failure
KW  - Impella
Y1  - 2022
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75182
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-751828
SN  - 1471-2253
N1  - Gefördert durch den Open-Access-Publikationsfonds der Goethe-Universität
N1  - Open Access funding enabled and organized by Projekt DEAL.
N1  - The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
VL  - 22.2022
IS  - art. 385
SP  - 1
EP  - 10
PB  - BioMed Central
CY  - [Erscheinungsort nicht ermittelbar]
ER  -