A Young Woman with Fulminant Myocarditis with Cardiogenic Shock – Management with Assist Devices: A Case Report

Abstract

Background

Severe heart failure or cardiogenic shock might arise as a consequence of fulminant myocarditis if it manifests and advances swiftly. The effective implementation of an immunological modulation regimen and mechanical circulatory support has proven instrumental in preserving the lives of individuals experiencing hemodynamic disturbance.

Case Presentation

The current report described a severe instance of fulminant myocarditis in an 18-year-old young woman who presented with severe hypoxemia and hemodynamic instability. The patient was treated with a combination of optimal medical therapy, immunological modulation, extracorporeal membrane oxygenation (ECMO), and an intra-aortic balloon pump (IABP) to support him through his critical period of hemodynamic collapse.

Conclusion

The case presented herein underscored the prompt reversal of life-threatening fulminant myocarditis subsequent to a comprehensive treatment regimen encompassing optimal medical therapy and aggressive mechanical circulatory support.

Keywords:

• fulminant myocarditis
• cardiogenic shock
• comprehensive treatment regimen
• mechanical circulatory support

Ethical Statement

With the written consent of the patient, we summarized the case data from the hospital’s internal documentation. The patient provided the consent for the publication of this case. This disclosure of the case detail was approved by the Clinical Research Ethics Committee of Fujian Medical University Union Hospital.

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors have no conflicts of interest to declare in this work.

Additional information

Funding

This study was supported by grants from the talent start-up capital program of Fujian Medical University Union Hospital (2023XH027), the Education and Research Project (Science and Technology) for Young and Middle-aged Teachers of Fujian Province (JAT200164).