在机械循环支持下进行心脏移植治疗暴发性心肌炎：病例报告。

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiothoracic Surgery Pub Date : 2024-08-24 DOI:10.1186/s13019-024-02999-y

Zhaohua Yang, Shuyang Lu, Gao Liu, Hongqiang Zhang, Chunsheng Wang

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摘要

暴发性心肌炎被定义为伴有快速心力衰竭和心源性休克的心脏炎症临床表现。我们报告了一例因暴发性心肌炎导致血液动力学失调和心脏骤停的 17 岁男孩的病例。经过约 2 小时的强化心肺复苏和 13 天的体外膜肺氧合支持，患者最终接受了正位心脏移植手术。患者恢复顺利，移植后 37 天出院。取出的心脏显示四个心室壁均有弥漫性淋巴细胞浸润和心肌细胞坏死，确诊并确定了暴发性心肌炎的根本原因。

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Heart transplantation under mechanical circulatory support for fulminant myocarditis: a Case Report.

Fulminant myocarditis has been defined as the clinical manifestation of cardiac inflammation with rapid-onset heart failure and cardiogenic shock. We report on the case of a 17-year-old boy with hemodynamic derangement and cardiac arrest due to fulminant myocarditis. After about 2 h of intensive cardiopulmonary resuscitation, with 13 days of extracorporeal membrane oxygenation support, the patient finally bridged to orthotopic heart transplantation. The patient recovered uneventfully and was discharged 37 days after transplantation. The explanted heart revealed diffuse lymphocytic infiltration and myocyte necrosis in all four cardiac chamber walls confirming the diagnosis and identifying the underlying cause of fulminant myocarditis.

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来源期刊

Journal of Cardiothoracic Surgery 医学-心血管系统

CiteScore

2.50

自引率

6.20%

发文量

286

审稿时长

4-8 weeks

期刊介绍： Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.