Emergent veno-arterial extra-corporeal membrane oxygenator support for refractory acute myocarditis in paediatric patients

Cardiol Young. 2024 Oct;34(10):2112-2114. doi: 10.1017/S1047951124025447. Epub 2024 Sep 27.

Abstract

Acute myocarditis leading to severe heart failure in paediatric patients is an uncommon but potentially life-threatening condition. The prompt implant of mechanical circulatory devices such as veno-arterial extra-corporeal membrane oxygenation remains the best treatment option to restore an adequate perfusion and improve patient survival in case of refractory cardiogenic shock cases. While few reports describe the in-hospital course of this dramatic disease, with an in-hospital mortality under veno-arterial extra-corporeal membrane oxygenation support around 30%, our study aims to analyse both short- and long-term outcomes after extra-corporeal membrane oxygenation implant.

Keywords: Extra-corporeal membrane oxygenation; acute myocarditis; heart failure; paediatric cardiogenic shock; refractory cardiogenic shock.

MeSH terms

  • Acute Disease
  • Adolescent
  • Child
  • Child, Preschool
  • Extracorporeal Membrane Oxygenation* / methods
  • Female
  • Heart Failure / therapy
  • Hospital Mortality
  • Humans
  • Infant
  • Male
  • Myocarditis* / therapy
  • Retrospective Studies
  • Shock, Cardiogenic* / etiology
  • Shock, Cardiogenic* / therapy
  • Treatment Outcome