Fulminant myocarditis causing severe left heart failure and massive thrombus formation following cardiac tamponade: A case report

Koji Miyamoto, Satoshi Yasuda, Teruo Noguchi, Takashi Tanimoto, Hiroyuki Kakuchi, Isao Morii, Atsushi Kawamura, Takeshi Nakatani, Hiroshi Nonogi, Yoichi Goto, Shunichi Miyazaki

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

A woman aged middle thirties presented with common cold-like symptoms, and was hospitalized due to hypotension and tachycardia. Echocardiography revealed pericardial effusion and preserved left ventricular fractional shortening (28%). Cardiac index, pulmonary capillary wedge and right atrial pressure were 1.81/min/m2, 15 and 13mmHg, respectively. After drainage of pericardial effusion, cardiac index increased to 3.41/min/m2. On the fifth hospital day, left ventricular dysfunction developed (fractional shortening: 16%, cardiac index: 1.51/min/m2, pulmonary capillary wedge pressure: 18 mmHg, right atrial pressure: 12mmHg), so percutaneous cardiopulmonary support was introduced. However, the heart failed in asystole and the cavity was occupied by massive thrombus, probably related to heparin-induced thrombocytopenia. This case of fulminant myocarditis passed through various clinical features of heart failure. She died on the 12th hospital day.

Original languageEnglish
Pages (from-to)25-31
Number of pages7
JournalJournal of cardiology
Volume46
Issue number1
Publication statusPublished - 2005 Jul
Externally publishedYes

Keywords

  • Cardiac tamponade
  • Heart failure
  • Myocarditis (fulminant)
  • Thrombosis (heparin-induced thrombocytopenia)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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