[Extracorporeal Membrane Oxygenation (ECMO) in Acute Cardiovascular Failure Caused by Myocarditis]

Monatsschr Kinderheilkd. 1993 May;141(5):405-8.
[Article in German]

Abstract

Main indication for extracorporeal membrane oxygenation (ECMO) is respiratory failure in the newborn. Less frequently ECMO is used for cardiac support. We report on a 4 months old boy, who suddenly fell ill with an acute viral myocarditis and heart failure (left-ventricular shortening fraction lowered to 17%). After failure of conventional management and resuscitation (twice) due to asystolic, veno-arterial ECMO was installed for a total time of 4 days. Under ECMO there was complete recovery of left-ventricular function; the infant was discharged 1 month after admission to hospital. ECMO-therapy should not only be considered in children with respiratory failure, but also in those with potentially reversible cardiac failure.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Echocardiography
  • Electrocardiography
  • Extracorporeal Membrane Oxygenation*
  • Heart Arrest / physiopathology
  • Heart Arrest / therapy*
  • Heart Failure / physiopathology
  • Heart Failure / therapy*
  • Hemodynamics / physiology
  • Humans
  • Infant
  • Male
  • Myocarditis / physiopathology
  • Myocarditis / therapy*
  • Ventricular Function, Left / physiology
  • Virus Diseases / physiopathology
  • Virus Diseases / therapy*