• BMC anesthesiology · Dec 2022

    Review Case Reports

    Severe COVID-19-associated myocarditis with cardiogenic shock - management with assist devices - a case report & review.

    • Stephanie Noone, Armin N Flinspach, Stephan Fichtlscherer, Kai Zacharowski, Michael Sonntagbauer, and Florian J Raimann.
    • Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt, Germany.
    • BMC Anesthesiol. 2022 Dec 12; 22 (1): 385385.

    BackgroundPrimary viral myocarditis associated with severe acute respiratory syndrome coronavirus 2 (SARS-Cov2) infection is a rare diagnosis.Case PresentationWe report the case of an unvaccinated, healthy patient with cardiogenic shock in the context of a COVID-19-associated myocarditis and therapy with simultaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and percutaneous left ventricular decompression therapy with an Impella. The aim of this review is to provide an overview of therapeutic options for patients with COVID-19-associated myocarditis.ConclusionsThe majority of patients required a combination of two assist devices to achieve sufficient cardiac output until recovery of left ventricular ejection fraction. Due to the rapid onset of this fulminant cardiogenic shock immediate invasive bridging therapy in a specialized center was lifesaving.© 2022. The Author(s).

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