Severe COVID-19-associated myocarditis with cardiogenic shock – management with assist devices – a case report & review
- 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.
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| Author: | Stephanie NooneORCiD, Armin Niklas FlinspachORCiDGND, Stephan Fichtlscherer, Kai ZacharowskiORCiDGND, Michael SonntagbauerGND, Florian RaimannORCiDGND |
|---|---|
| URN: | urn:nbn:de:hebis:30:3-751828 |
| DOI: | https://doi.org/10.1186/s12871-022-01890-4 |
| ISSN: | 1471-2253 |
| Parent Title (English): | BMC anesthesiology |
| Publisher: | BioMed Central |
| Place of publication: | [Erscheinungsort nicht ermittelbar] |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2022/12/12 |
| Date of first Publication: | 2022/12/12 |
| Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
| Release Date: | 2024/07/08 |
| Tag: | Critical care; Extracorporeal membrane oxygenation; Heart failure; Impella; Myocarditis; SARS-COV-2 |
| Volume: | 22 |
| Issue: | art. 385 |
| Article Number: | 385 |
| Page Number: | 10 |
| First Page: | 1 |
| Last Page: | 10 |
| Note: | Gefördert durch den Open-Access-Publikationsfonds der Goethe-Universität |
| Note: | Open Access funding enabled and organized by Projekt DEAL. |
| Note: | 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. |
| HeBIS-PPN: | 520853377 |
| Institutes: | Medizin |
| Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
| Sammlungen: | Universitätspublikationen |
| Open-Access-Publikationsfonds: | Medizin |
| Licence (German): |  Creative Commons - CC BY - Namensnennung 4.0 International |
