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  • Title: Successive circulatory support stages: a triple bridge to recovery from fulminant myocarditis.
    Author: Jaroszewski DE, Marranca MC, Pierce CN, Wong RK, Steidley ED, Scott RL, Devaleria PA, Arabia F.
    Journal: J Heart Lung Transplant; 2009 Sep; 28(9):984-6. PubMed ID: 19716056.
    Abstract:
    Fulminant myocarditis with rapid onset of symptoms and hemodynamic compromise is a rare indication for mechanical support. Because of the potentially reversible nature of this illness, advanced mechanical circulatory support is warranted to achieve recovery or as a bridge to transplantation. Circulatory device options currently available allow for a phased implementation of support modalities in a manner that reduces costs and patient risk. We present a patient with fulminant myocarditis where extracorporeal membrane oxygenation (ECMO) support escalated to short-term Levitronix CentriMag (Levitronix, Waltham, MA) biventricular assist devices (BiVADs). These in turn were exchanged, without major surgery, to long-term paracorporeal VADs (Thoratec, Pleasanton, CA). After rehabilitation and nearly total recovery, the patient was weaned from mechanical circulatory support after 104 cumulative days.
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