Fenestrated Fontan-like circulation under durable left-ventricular assist device support in fulminant myocarditis

J Artif Organs. 2023 Sep;26(3):233-236. doi: 10.1007/s10047-022-01357-w. Epub 2022 Aug 24.

Abstract

Fulminant myocarditis is a fatal development from profound biventricular heart failure and often requires both right- and left-ventricular assistance to maintain hemodynamics, even at the risk of increased mortality and morbidity. Here, we present a 42-year-old female with profound biventricular failure due to fulminant myocarditis, resolved by an isolated durable left-ventricular assist device support under a fenestrated, Fontan-like circulation and managed low-pulmonary vascular resistance.

Keywords: Cardiogenic shock; Durable left-ventricular assist device; Fenestrated Fontan-like circulation; Fulminant myocarditis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Heart Failure* / surgery
  • Heart-Assist Devices*
  • Hemodynamics
  • Humans
  • Myocarditis* / complications
  • Myocarditis* / surgery
  • Shock, Cardiogenic
  • Treatment Outcome