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Pediatr Crit Care Me · Nov 2010
Comment Case ReportsNovel pH1N1 viral cardiomyopathy requiring veno-venous extracorporeal membrane oxygenation.
- Sujata Subramanian, Jonna D Clark, Howard E Jeffries, and D Michael McMullan.
- Divisions of Pediatric Cardiac Surgery, Seattle Children's Hospital, Seattle, WA, USA.
- Pediatr Crit Care Me. 2010 Nov 1;11(6):714-7.
ObjectiveTo report a case of pH1N1 viral infection presenting as heart failure requiring mechanical extracorporeal life support.DesignCase report.SettingPediatric intensive care unit at a regional children's hospital.PatientObese 15-yr-old boy who presented with pH1N1-related cardiomyopathy and respiratory failure that required extracorporeal membrane oxygenation.InterventionsExtracorporeal membrane oxygenation, echocardiography, high-frequency oscillating ventilation.Measurements And Main ResultsDiscovery of severe dilated cardiomyopathy and respiratory failure.ConclusionsPatients with pH1N1 may present in profound heart failure in addition to respiratory failure. Extracorporeal membrane oxygenation may play an important role in managing these complex patients.
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