PMID: 9169372Jan 1, 1997Paper

Temporary mechanical support with the BVS 5000 assist device during treatment of acute myocarditis

Journal of Cardiac Surgery
Daniel MarelliD C Drinkwater

Abstract

Ventricular support with the BVS 5000 (Abiomed) has been used as temporary circulatory assist for the failing heart. Our purpose is to summarize four cases illustrating the role of mechanical unloading in acute myocarditis. Four patients aged 16- to 33-year old presented with congestive heart failure 4 to 20 days after a flu-like syndrome. All patients were in severe cardiogenic shock +/- renal and liver dysfunction. Ejection fraction ranged from 5% to 26%. Indications for ventricular assist were failure of maximal medical treatment with > or = two inotropes +/- intra-aortic balloon pump. Myocardial biopsy revealed acute myocarditis in three patients and severe edema in one despite a characteristic clinical course. Two patients received immunotherapy with OKT3. Biventricular assist was used in three patients and left ventricular assist only was used in one. Mean support time was 8.3 days (7 to 11). All patients had recovery of myocardial function and were discharged from the hospital in good condition. The BVS 5000 device provides a safe, simple, and effective method to support the circulation during acute myocarditis. We hypothesize that this may facilitate myocardial recovery by decompressing the distended ventricle. Ventricu...Continue Reading

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Citations

Mar 27, 2001·The Annals of Thoracic Surgery·G S KumpatiK J Hoercher
Mar 27, 2001·The Annals of Thoracic Surgery·R HetzerM Dandel
Jan 5, 2000·The Annals of Thoracic Surgery·Y S ChenW J Ko
Apr 1, 2004·The Surgical Clinics of North America·Louis Samuels
Nov 15, 2002·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·James E DaviesWilliam L Holman
Mar 14, 2003·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Paul L DiGiorgiMehmet C Oz
May 5, 1999·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·J M ChenM C Oz
Aug 6, 2000·The New England Journal of Medicine·P Khairy, C Infante-Rivard
Nov 9, 2000·The New England Journal of Medicine·A M Feldman, D McNamara
Aug 27, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasuhiro MaejimaMuneyasu Saito
Jan 18, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Yih-Sharng ChenWen-Je Ko
Jan 6, 1999·The Annals of Thoracic Surgery·T J Krause
Aug 2, 2000·The Annals of Thoracic Surgery·S WestabyR E Clark
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Roland HetzerBrigitte Stiller
Feb 9, 2002·Journal of Cardiac Surgery·G S KumpatiK J Hoercher
Jun 8, 1999·Current Opinion in Cardiology·M LoebeR Hetzer
Aug 17, 2004·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Jeffrey A MorganYoshifumi Naka

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