Novel pH1N1 viral cardiomyopathy requiring veno-venous extracorporeal membrane oxygenation

Pediatr Crit Care Med. 2010 Nov;11(6):714-7. doi: 10.1097/PCC.0b013e3181e327c9.

Abstract

Objective: To report a case of pH1N1 viral infection presenting as heart failure requiring mechanical extracorporeal life support.

Design: Case report.

Setting: Pediatric intensive care unit at a regional children's hospital.

Patient: Obese 15-yr-old boy who presented with pH1N1-related cardiomyopathy and respiratory failure that required extracorporeal membrane oxygenation.

Interventions: Extracorporeal membrane oxygenation, echocardiography, high-frequency oscillating ventilation.

Measurements and main results: Discovery of severe dilated cardiomyopathy and respiratory failure.

Conclusions: Patients with pH1N1 may present in profound heart failure in addition to respiratory failure. Extracorporeal membrane oxygenation may play an important role in managing these complex patients.

Publication types

  • Case Reports
  • Comment

MeSH terms

  • Adolescent
  • Cardiomyopathy, Dilated / diagnosis
  • Cardiomyopathy, Dilated / therapy*
  • Cardiomyopathy, Dilated / virology*
  • Diagnosis, Differential
  • Extracorporeal Membrane Oxygenation / methods*
  • Humans
  • Influenza A Virus, H1N1 Subtype / isolation & purification*
  • Influenza A Virus, H1N1 Subtype / pathogenicity
  • Influenza, Human / diagnosis
  • Influenza, Human / therapy*
  • Influenza, Human / virology*
  • Male
  • Respiratory Insufficiency / diagnosis
  • Respiratory Insufficiency / therapy*
  • Respiratory Insufficiency / virology*