학술논문

Successful heart transplantation for COVID‐19‐associated post‐infectious fulminant myocarditis
Document Type
article
Source
ESC Heart Failure, Vol 8, Iss 4, Pp 2625-2630 (2021)
Subject
Fulminant myocarditis
COVID‐19
Cardiogenic shock
Extracorporeal membrane oxygenation
Heart transplantation
Diseases of the circulatory (Cardiovascular) system
RC666-701
Language
English
ISSN
2055-5822
Abstract
Abstract Various clinical presentations of the 2019 coronavirus disease (COVID‐19) have been described, including post‐infectious acute and fulminant myocarditis. Here, we describe the case of a young patient admitted for COVID‐19‐associated post‐infectious fulminant myocarditis. Despite optimal pharmacologic management, haemodynamic status worsened requiring support by veno‐arterial extracorporeal membrane oxygenation. Emergent heart transplantation was required at Day 11 given the absence of cardiac function improvement. The diagnosis of post‐infectious COVID‐19‐associated myocarditis was made from both pathologic examination of the explanted heart and positive SARS‐CoV‐2 serology.