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Severe COVID-19-associated myocarditis with cardiogenic shock - management with assist devices - a case report & review.
Noone, Stephanie; Flinspach, Armin N; Fichtlscherer, Stephan; Zacharowski, Kai; Sonntagbauer, Michael; Raimann, Florian J.
  • Noone S; Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
  • Flinspach AN; Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
  • Fichtlscherer S; Division of Cardiology, Department of Internal Medicine III, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
  • Zacharowski K; Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
  • Sonntagbauer M; Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
  • Raimann FJ; Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany. Florian.Raimann@kgu.de.
BMC Anesthesiol ; 22(1): 385, 2022 Dec 12.
Article in English | MEDLINE | ID: covidwho-2162294
ABSTRACT

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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Full text: Available Collection: International databases Database: MEDLINE Main subject: Heart-Assist Devices / COVID-19 / Myocarditis Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Humans Language: English Journal: BMC Anesthesiol Year: 2022 Document Type: Article Affiliation country: S12871-022-01890-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Heart-Assist Devices / COVID-19 / Myocarditis Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Humans Language: English Journal: BMC Anesthesiol Year: 2022 Document Type: Article Affiliation country: S12871-022-01890-4