학술논문

Successful heart transplantation for COVID‐19‐associated post‐infectious fulminant myocarditis
Document Type
Report
Source
ESC Heart Failure. August 2021, Vol. 8 Issue 4, p2625, 6 p.
Subject
Diseases
Myocarditis
Heart transplantation
Coronaviruses
B cells
Fondaparinux
Heart
COVID-19
Heart -- Transplantation
Language
English
Abstract
Introduction Various clinical presentations of the 2019 coronavirus disease (COVID‐19) have recently been described, including post‐infectious acute and fulminant myocarditis.[sup.1–4] Here, we describe the clinical presentation and management of a [...]
: 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.