[Cure of superacute eosinophilic myocarditis treated by temporary circulatory assistance]. / Guérison d'une myocardite suraiguë à éosinophiles traitée par assistance circulatoire temporaire.
Arch Mal Coeur Vaiss
; 94(11): 1184-9, 2001 Nov.
Article
em Fr
| MEDLINE
| ID: mdl-11794987
ABSTRACT
The authors report the case of a 31 year old woman, admitted as an emergency for acute myopericarditis, in cardiogenic shock. Echocardiography showed severe left ventricular dysfunction associated with concentric biventricular hypertrophy with increased echogenicity of the myocardial walls. Poor response to treatment with intravenous inotropic drugs led to referral for biventricular circulatory assistance with a Biomedicus pump, which was withdrawn on the 9th day after recovery of normal left ventricular function. Myocardial biopsies showed massive interstitial inflammation with a predominance of eosinophilic cells suggesting a hypersensitivity reaction. Steroid therapy was prescribed when the results of biopsy were known and stopped after 6 months. This case emphasises the value of echocardiography and myocardial biopsy in diagnosis and treatment of acute myocarditis with cardiogenic shock.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Circulação Assistida
/
Choque Cardiogênico
/
Miocardite
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Fr
Revista:
Arch Mal Coeur Vaiss
Ano de publicação:
2001
Tipo de documento:
Article