A Case of Fulminant Myocarditis Rescued by Cardiopulmonary Support under Tracostomy.
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Accession number;02A0492519
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| Title;A Case of Fulminant Myocarditis Rescued by Cardiopulmonary Support under Tracostomy. |
| Author;
IZUMI MINA
(Nihon Univ.)
KARASAWA KENSUKE
(Nihon Univ.)
SAITO HAYAMI
(Nihon Univ.)
YAMASUGA MASAO
(Nihon Univ.)
AYUSAWA MAMORU
(Nihon Univ.)
NOTO NOBUTAKA
(Nihon Univ.)
SUMITOMO NAOTAKA
(Nihon Univ.)
OKADA TOMOO
(Nihon Univ.)
HARADA KENSUKE
(Nihon Univ.)
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Journal Title;Journal of the Japan Pediatric Society
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Journal Code:F0896A
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ISSN:0001-6543
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VOL.106;NO.5;PAGE.688-691(2002)
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| Figure&Table&Reference;FIG.2, TBL.1, REF.12 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Cardiopulmonary support under tracostomy was performed in a 12-year-old girl with fulminant myocarditis. Three days before admission mild fever and vomiting were reported. On admission, she was referred to our department for unconsciousness attack lasting some seconds. The laboratory investigation revealed severe liver dysfunction with elevated serum enzymes (CPK, LDH, GOT) and ECG showed complete AV-block. After temporary pacemaker treatment, the hemodynamics were unstable. We tried the percutaneous cardiopulmonary support system, but the could not insert the cannulae into the vessel because of the small diameter of her femoral artery. Then we performed cardiopulmonary support under mid-tracostomy with steroid pulse therapy, intravenous .GAMMA.-globulin, catecholamines, phosphodiesterase-III inhibitor and diuretic drug infusion. She made a gradually recovery and could be weaned from the system after support periods of 59 hours without complications. Fulminant myocarditis needs an aggressive therapy for rescue, and cardiopulmonary support under tracostomy is available for a child, aiming at avoiding ischemia of leg and sufficient benefits of cardiopulmonary assist. (author abst.) |
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