Successive Circulatory Support Stages

A Triple Bridge to Recovery from Fulminant Myocarditis

Dawn E. Jaroszewski, Michael C. Marranca, Christopher N. Pierce, Raymond K Wong, Eric D. Steidley, Robert L. Scott, Patrick A. DeValeria, Francisco Arabia

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Fulminant myocarditis with rapid onset of symptoms and hemodynamic compromise is a rare indication for mechanical support. Because of the potentially reversible nature of this illness, advanced mechanical circulatory support is warranted to achieve recovery or as a bridge to transplantation. Circulatory device options currently available allow for a phased implementation of support modalities in a manner that reduces costs and patient risk. We present a patient with fulminant myocarditis where extracorporeal membrane oxygenation (ECMO) support escalated to short-term Levitronix CentriMag (Levitronix, Waltham, MA) biventricular assist devices (BiVADs). These in turn were exchanged, without major surgery, to long-term paracorporeal VADs (Thoratec, Pleasanton, CA). After rehabilitation and nearly total recovery, the patient was weaned from mechanical circulatory support after 104 cumulative days.

Original languageEnglish (US)
Pages (from-to)984-986
Number of pages3
JournalJournal of Heart and Lung Transplantation
Volume28
Issue number9
DOIs
StatePublished - Sep 2009
Externally publishedYes

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Myocarditis
Equipment and Supplies
Extracorporeal Membrane Oxygenation
Rehabilitation
Transplantation
Hemodynamics
Costs and Cost Analysis

ASJC Scopus subject areas

  • Transplantation
  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

Successive Circulatory Support Stages : A Triple Bridge to Recovery from Fulminant Myocarditis. / Jaroszewski, Dawn E.; Marranca, Michael C.; Pierce, Christopher N.; Wong, Raymond K; Steidley, Eric D.; Scott, Robert L.; DeValeria, Patrick A.; Arabia, Francisco.

In: Journal of Heart and Lung Transplantation, Vol. 28, No. 9, 09.2009, p. 984-986.

Research output: Contribution to journalArticle

Jaroszewski, DE, Marranca, MC, Pierce, CN, Wong, RK, Steidley, ED, Scott, RL, DeValeria, PA & Arabia, F 2009, 'Successive Circulatory Support Stages: A Triple Bridge to Recovery from Fulminant Myocarditis', Journal of Heart and Lung Transplantation, vol. 28, no. 9, pp. 984-986. https://doi.org/10.1016/j.healun.2009.05.020
Jaroszewski, Dawn E. ; Marranca, Michael C. ; Pierce, Christopher N. ; Wong, Raymond K ; Steidley, Eric D. ; Scott, Robert L. ; DeValeria, Patrick A. ; Arabia, Francisco. / Successive Circulatory Support Stages : A Triple Bridge to Recovery from Fulminant Myocarditis. In: Journal of Heart and Lung Transplantation. 2009 ; Vol. 28, No. 9. pp. 984-986.
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