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Ann Thorac Surg 2000;70:278-282
© 2000 The Society of Thoracic Surgeons

Case report

Mechanical bridge to recovery in fulminant myocarditis

Stephen Westaby, FRCSa, Takahiro Katsumata, MD, PhDa, David Pigott, MDb, Xu Y. Jin, MD, PhDa, Kjell Saatvedt, MD, PhDa, Matthew Horton, FRCASa, Richard E. Clark, MDa

a Department of Cardiac Surgery, John Radcliffe Hospital, Oxford, England, United Kingdom
b Department of Anesthesiology, John Radcliffe Hospital, Oxford, England, United Kingdom

Address reprint requests to Dr Westaby, Oxford Heart Centre, John Radcliffe Hospital, Oxford OX3 9DU, England
e-mail: swestaby{at}ahf.org.uk

A patient with acute fulminant lymphocytic myocarditis and cardiogenic shock was successfully treated by mechanical offloading of the left ventricle. A nonpulsatile left-heart bypass was undertaken with an implantable centrifugal blood pump. Careful weaning resulted in device removal on the seventh day. Left and right ventricular function is sustained at 7 months. Widespread application of this method depends on the availability of an inexpensive user friendly blood pump, appropriate weaning protocols and emerging strategies to promote sustainabile myocardial recovery.


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Invited commentary
G. Kimble Jett
Ann. Thorac. Surg. 2000 70: 282-283. [Extract] [Full Text] [PDF]



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