Fulminant Acute Myocarditis in a Pregnant Woman treated with Circulatory Assistance

Abstract

Fulminant myocarditis is a rare inflammatory affecting relatively young adult. We report a case of 29-year-old pregnant woman with an acute intraoperative onset of a severe heart failure. A rapid and accurate diagnostic approach suggested an acute fulminant myocarditis. Initial hemodynamic support without immunosuppressive and viral therapy resulted in a partial recovery within a two week. Patients presenting with acute fulminant myocarditis with unknown etiology can have a complete recovery with an appropriate and rapid timing of an aggressive hemodynamic support including levosimendan and extracorporeal membrane oxygenation.