Korean J Med > Volume 77(1); 2009 > Article
The Korean Journal of Medicine 2009;77(1):87-92.
Two cases of acute fulminant myocarditis supported by extracorporeal membrane oxygenation
Su Bum Park, Hong Ryul Jung, Ha Rin Rhee, Tae Kyung Kim, Han Cheol Lee, Taek Jong Hong, Yung Woo Shin
체외막형 인공폐장치 보조로 치료한 급성 전격성 심근염 2예
박수범, 정홍렬, 이하린, 김태경, 이한철, 홍택종, 신영우
Abstract
Myocarditis is defined as inflammation of the myocardium caused by viral, richettsial, bacterial, or protozoal infection, or drug toxicity. The clinical course of patients with myocarditis varies from subclinical disease to fulminant myocarditis (FM). FM occurs rapidly and causes heart failure or lethal arrhythmia, often leading to death by cardiogenic shock due to severe left ventricular dysfunction. For some critical patients who have difficulty maintaining hemodynamic status, percutaneous cardiopulmonary support, extracorporeal membrane oxygenation (ECMO), and/or a mechanical ventricular assist device are available alternative choices. Here we report cases of patients with FM who were treated using ECMO during the acute stages of the illness.
Key Words: Cardiogenic shock; Extracorporeal membrane oxygenation (ECMO); Fulminant myocarditis; Myocarditis


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