Transbrachial intra-aortic balloon pumping for a patient with fulminant myocarditis

A 57-year-old man with acute myocarditis was transferred to our hospital from a local clinic. The patient experienced unexpected sudden cardiac arrest 16 h after admission. Mechanical cardiopulmonary support was started using percutaneous cardiopulmonary support, intra-aortic balloon pumping (IABP),...

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Bibliographic Details
Published in:Heart and vessels 2012-11, Vol.27 (6), p.639-642
Main Authors: Okai, Iwao, Inoue, Kenji, Maruyama, Masaki, Maruyama, Sonomi, Komatsu, Kaoru, Nishizawa, Hirohito, Okazaki, Shinya, Fujiwara, Yasumasa, Sumiyoshi, Masataka, Daida, Hiroyuki
Format: Article
Language:English
Subjects:
Acute Disease
Biomedical Engineering and Bioengineering
Brachial Artery
Cardiac Pacing, Artificial
Cardiac Surgery
Cardiology
Cardiopulmonary Resuscitation
Cardiovascular disease
Case Report
Clinical outcomes
Device Removal
Echocardiography
Electrocardiography
Femoral Artery
Heart Arrest - diagnosis
Heart Arrest - etiology
Heart Arrest - physiopathology
Heart Arrest - surgery
Heart surgery
Hematoma - etiology
Hemodiafiltration
Humans
Intra-Aortic Balloon Pumping - adverse effects
Intra-Aortic Balloon Pumping - instrumentation
Intra-Aortic Balloon Pumping - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Myocarditis - complications
Myocarditis - diagnosis
Myocarditis - physiopathology
Myocarditis - surgery
Recovery of Function
Systole
Time Factors
Treatment Outcome
Vascular Surgery
Ventricular Function, Left
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Summary:A 57-year-old man with acute myocarditis was transferred to our hospital from a local clinic. The patient experienced unexpected sudden cardiac arrest 16 h after admission. Mechanical cardiopulmonary support was started using percutaneous cardiopulmonary support, intra-aortic balloon pumping (IABP), continuous hemodialysis filtration, and temporary cardiac pacing with percutaneous cannulation of the femoral vessels. Hematoma developed at the IABP insertion site on the 5th day after admission. The IABP was removed, and another IABP system was inserted via the left brachial artery. The patient’s condition improved, and the IABP was removed on the 9th day after admission. The remainder of the patient’s in-hospital treatment was uneventful, and he showed near-normal left ventricular systolic function 1 year after discharge.
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-012-0231-z