TY - JOUR
T1 - Fulminant myocarditis causing severe left heart failure and massive thrombus formation following cardiac tamponade
T2 - A case report
AU - Miyamoto, Koji
AU - Yasuda, Satoshi
AU - Noguchi, Teruo
AU - Tanimoto, Takashi
AU - Kakuchi, Hiroyuki
AU - Morii, Isao
AU - Kawamura, Atsushi
AU - Nakatani, Takeshi
AU - Nonogi, Hiroshi
AU - Goto, Yoichi
AU - Miyazaki, Shunichi
PY - 2005/7
Y1 - 2005/7
N2 - A woman aged middle thirties presented with common cold-like symptoms, and was hospitalized due to hypotension and tachycardia. Echocardiography revealed pericardial effusion and preserved left ventricular fractional shortening (28%). Cardiac index, pulmonary capillary wedge and right atrial pressure were 1.81/min/m2, 15 and 13mmHg, respectively. After drainage of pericardial effusion, cardiac index increased to 3.41/min/m2. On the fifth hospital day, left ventricular dysfunction developed (fractional shortening: 16%, cardiac index: 1.51/min/m2, pulmonary capillary wedge pressure: 18 mmHg, right atrial pressure: 12mmHg), so percutaneous cardiopulmonary support was introduced. However, the heart failed in asystole and the cavity was occupied by massive thrombus, probably related to heparin-induced thrombocytopenia. This case of fulminant myocarditis passed through various clinical features of heart failure. She died on the 12th hospital day.
AB - A woman aged middle thirties presented with common cold-like symptoms, and was hospitalized due to hypotension and tachycardia. Echocardiography revealed pericardial effusion and preserved left ventricular fractional shortening (28%). Cardiac index, pulmonary capillary wedge and right atrial pressure were 1.81/min/m2, 15 and 13mmHg, respectively. After drainage of pericardial effusion, cardiac index increased to 3.41/min/m2. On the fifth hospital day, left ventricular dysfunction developed (fractional shortening: 16%, cardiac index: 1.51/min/m2, pulmonary capillary wedge pressure: 18 mmHg, right atrial pressure: 12mmHg), so percutaneous cardiopulmonary support was introduced. However, the heart failed in asystole and the cavity was occupied by massive thrombus, probably related to heparin-induced thrombocytopenia. This case of fulminant myocarditis passed through various clinical features of heart failure. She died on the 12th hospital day.
KW - Cardiac tamponade
KW - Heart failure
KW - Myocarditis (fulminant)
KW - Thrombosis (heparin-induced thrombocytopenia)
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M3 - Article
C2 - 16095228
AN - SCOPUS:23344447162
SN - 0914-5087
VL - 46
SP - 25
EP - 31
JO - Journal of Cardiology
JF - Journal of Cardiology
IS - 1
ER -