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Case Report
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| A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation | ||||||
| Colaco Sylvia M.1, Raghavan Subramanyam2, Anto Sahayaraj R.3, Cherian K.M.4 | ||||||
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1Fellow in pediatric cardiology, Frontier lifeline hospital, Chennai.
2Head of Dept of pediatric cardiology, Frontier lifeline hospital, Chennai. 3Consultant Surgeon, Frontier lifeline hospital, Chennai. 4Director and Head surgeon, Frontier lifeline hospital, Chennai. | ||||||
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| How to cite this article |
| Colaco SM, Subramanyam R, Sahayaraj AR, Cherian KM. A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation. Int J Case Rep Images 2017;8(2):143–146. |
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Abstract
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Introduction:
Fulminant acute myocarditis (FAM) occurs rapidly, causes pump failure or lethal arrhythmias, sometimes leading to death by cardiogenic shock.
Case Report: We hereby present a three-year-old girl, previously asymptomatic, who developed rapid onset tachycardia, hypotension and cardiorespiratory arrest following an episode of respiratory tract infection. The patient was treated with anti-arrhythmic drugs, inotropes, and cardioversion after being diagnosed as atrial tachycardia, but the rhythm did not revert to sinus rhythm. Due to deteriorating condition patient was put on extra corporeal membrane oxygenation (ECMO) and supported for 131 hours along with supportive and IVIG treatment. After improvement in ejection fraction, patient was weaned off ECMO. The rhythm reverted to sinus after three days of admission and antiarrhythmics were gradually tapered. Patient was discharged on 17th day of admission in a stable condition with an ejction fraction of 58%. Conclusion: Timely extracorporeal membrane oxygenation (ECMO) support in fulminant acute myocarditis (FAM) with refractory atrial tachycardia and shock due to myocarditis, along with medical treatment could prevent lethal outcomes. | |
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Keywords:
Child, Extracorporeal membrane oxygenation (ECMO), Fulminant acute myocarditis (FAM)
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Author Contributions
Colaco Sylvia M. – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Raghavan Subramanyam – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Anto Sahayaraj R. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Cherian K.M. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Colaco Sylvia M. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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