eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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4/2015
vol. 11
 
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abstract:
Case report

Fulminant heart failure due to giant cell myocarditis affecting the left ventricle

Tomasz Senderek
,
Barbara Małecka
,
Andrzej Ząbek
,
Lucyna Rudnicka-Sosin
,
Karol Wierzbicki
,
Piotr Przybyłowski
,
Jacek Bednarek
,
Jacek Lelakowski

Postep Kardiol Inter 2015; 11, 4 (42): 351–353
DOI: https://doi.org/10.5114/pwki.2015.55613
Online publish date: 2015/12/01
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A 56-year-old woman, previously healthy, was hospitalized after an episode of ventricular tachycardia in the course of infection. In view of the fulminant course of heart failure the patient was connected to an extracorporeal membrane oxygenation (ECMO) system. After 3 weeks of treatment with ECMO the patient received a heart transplant. A histopathological examination of the tissues of the explanted heart revealed giant cell myocarditis. The patient was treated with immunosuppression based on induction therapy followed by a standard regimen with steroids. Currently, the patient remains in good general condition with an left ventricular ejection fraction of 60%.
keywords:

fulminant heart failure, giant cell myocarditis
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