Total artificial heart implantation for biventricular failure due to eosinophilic myocarditis

J Artif Organs. 2017 Sep;20(3):266-269. doi: 10.1007/s10047-017-0954-9. Epub 2017 Mar 27.

Abstract

Idiopathic hypereosinophilic syndrome is a condition of unknown etiology characterized by proliferation of eosinophils and their infiltration into tissues. Although cardiac involvement is rare, eosinophilic myocarditis can lead to life-threating fulminant congestive heart failure. Treatment of patients with eosinophilic myocarditis is challenging as heart failure can be caused by biventricular dysfunction. To our knowledge, this is the first case reported in the literature describing a patient with acute severe biventricular heart failure caused by eosinophilic myocarditis with mural left ventricular apical thrombus who was successfully treated with implantation of a total artificial heart as a bridge to heart transplant.

Keywords: Artificial organs; Cardiomyopathy; Circulatory support device; Heart failure.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Echocardiography
  • Eosinophilia / complications*
  • Eosinophilia / diagnosis
  • Heart Failure / diagnosis
  • Heart Failure / etiology
  • Heart Failure / surgery*
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / physiopathology*
  • Heart Ventricles / surgery
  • Heart, Artificial*
  • Humans
  • Male
  • Myocarditis / complications*
  • Myocarditis / diagnosis
  • Myocardium / pathology
  • Tomography, X-Ray Computed
  • Young Adult