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CALL FOR ABSTRACTS ABSTRACTS FOR CASE REPORTS PRESENTATIONS SHOULD CONTAIN THE FOLLOWING INFORMATION: • TITLE: State the title of your presentation. • INTRODUCTION: Briefly describe the case and how it pertains to perfusion practice. • CASE REPORT: Include patient age, gender and other pertinent demographics such as height, weight and body surface area, brief medical history, extracorporeal equipment and circuitry, operative and perfusion procedure, out<strong>com</strong>e and follow-up (if available). • DISCUSSION: This may include evolution of the technique, history and bibliographic references, expansion of alternative techniques or results, problems, speculations or future suggested approaches. • CONCLUSION: The conclusion should summarize the main points. • QUESTIONS: Submit five questions that can be asked about your presentation at the Case Reports Meeting.
ABSTRACT Title: A case report: ECMO support for Fulminant Myocarditis Introduction: This case report describes the use of ECMO for biventricular support for a patient diagnosed with fulminant myocarditis (FM). Case Report: In this case study, we discuss a patient diagnosed with FM. A 25 year old woman present to the ER at MUSC hospital <strong>com</strong>plaining of three days of chest pain, nausea, and vomiting. She had a height of 167 cm, weighed 68 kg, and had a BSA of 1.75m². Upon admission and a diagnostic cardiac catheterization, her EF was 69%. After 21 days in the hospital, she was released to go home. Discussion: Fulminant myocarditis (FM) is caused by the inflammation of the myocardium that results in ventricular systolic dysfunction and acute-onset heart failure. Symptoms progress rapidly and are life threatening. Patients who are diagnosed with FM often die of sudden cardiac arrest, arrhythmias, or sever heart failure unless mechanical circulatory support is introduced. When patients are aggressively treated with biventricular support devices, there is a 70-75% of full recovery from FM. Heart transplantation can often be avoided. Conclusion: This paper presents the diagnostic and clinical aspects of an FM patient. A detailed account follows the clinical presentation, methods of diagnosis, patient management, treatment options, and the inevitable prognosis of FM. Lastly, the pathophysiological, histological, and electrophysical distinguishing features of FM are identified. Overall, the aggressive treatment, rapid mechanical support, and extraordinary collaboration of the heart team lead to the patient’s excellent recovery. Questions: 1. Do other ventricular support devices provide the same results as ECMO? 2. How many case of FM occur every year? 3. How did ECMO effect the patient’s other organs? 4. What are the 5. How is FM classified from other forms of myocarditis?
Page 1 and 2:
A CASE REPORT: ECMO SUPPORT FOR FUL
Page 3 and 4:
MYOCARDITIS: DEFINITION • Myocard
Page 5 and 6:
CLASSIFICATION • Etiology • Ex:
Page 7 and 8:
Phase I: Viral Infection • Cardio
Page 9 and 10:
PHASE III: CELL-MEDIATED IMMUNITY
Page 11 and 12:
FIGURE 1 PATHOGENESIS OF VIRAL MYOC
Page 13 and 14: HISTORY & PHYSICAL • 24 year old
Page 15: ICU AND RIGHT HEART CATH • VTach
Page 19 and 20: MUSC-ECMO •Equipment: •Stockert
Page 21: • Cardiac Stun: ECHO: DAY 1 OF EC
Page 26 and 27: ECHO: DAY 6 OF ECMO • Trial Off-
Page 28 and 29: 6 14 20 34 38 46 54 62 70 82 90 102
Page 30 and 31: fib (mg/dL) 215 191 208 229 233 306
Page 35 and 36: EF (%) 80 Patient EF Through Hospit
Page 37 and 38: CLINICAL PRESENTATION OF MYOCARDITI
Page 39 and 40: METHODS OF FM DIAGNOSIS • Echocar
Page 41 and 42: LABORATORY EVIDENCE FOR FM VS. ACUT
Page 43 and 44: Fulminant Chronic HISTOLOGICAL CLAS
Page 46: LONG-TERM OUTCOME OF FULMINANT MYOC
Page 49 and 50: EXPERIENCE AND RESULT OF ECMO IN TR
Page 51: CONCLUSION Teamwork and aggressive
Page 54 and 55: Initial Tn levels were elevated (21
Page 56 and 57: #3 JOURNAL OF THE AMERICAN COLLEGE
Page 58 and 59: FAVOURABLE CLINICAL OUTCOME IN PATI
Page 60 and 61: SPINALE IDEAS • Myocardial stanni
Page 62 and 63: FIGURE 2. A CASE OF FULMINANT MYOCA
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