A Unique Case of Systemic Lupus Erythematosus Myocarditis Complicated by Plasmapheresis-Responsive Cardiogenic Shock

Carson Smith; Maya Guglin; Rachel E Dougherty; Roopa A Rao

doi:10.1016/j.jaccas.2020.09.043

A Unique Case of Systemic Lupus Erythematosus Myocarditis Complicated by Plasmapheresis-Responsive Cardiogenic Shock

JACC Case Rep. 2020 Dec 9;2(15):2376-2380. doi: 10.1016/j.jaccas.2020.09.043. eCollection 2020 Dec.

Authors

Carson Smith¹, Maya Guglin², Rachel E Dougherty³, Roopa A Rao²

Affiliations

¹ Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
² Division of Cardiology, Krannert Institute of Cardiology at Indiana University School of Medicine, Indianapolis, Indiana, USA.
³ Department of Pathology, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Abstract

A 25-year-old woman with systemic lupus erythematosus complicated by biventricular failure with a history of multiple admissions presented with cardiogenic shock unresponsive to steroids, intravenous immunoglobulin, cyclophosphamide, and required extra-corporeal membrane oxygenation. Left ventricular function eventually recovered after plasmapheresis. (Level of Difficulty: Advanced.).

Keywords: ECMO, extra-corporeal membrane oxygenation; IVIG, intravenous immunoglobulin; LVEF, left ventricular ejection fraction; SLE, systemic lupus erythematosus; VA-ECMO, venoarterial extracorporeal membrane oxygenation; autoimmune; cardiomyopathy; systolic heart failure.

Publication types

Case Reports