Left Atrial Decompression on Extracorporeal Membrane Oxygenation of a Neonate with Fulminant Enteroviral Myocarditis

Case Report

Volume 2, Issue 1

Left Atrial Decompression on Extracorporeal Membrane Oxygenation of a Neonate with Fulminant Enteroviral Myocarditis

Roie Tal¹, Josef Ben-Ari², Moshe Dotan³ and Avraham Lorber^4*

¹Department of Pediatrics, Galilee Medical Center, Naharia, The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel

²Pediatric Intensive Care Unit, Rambam Healthcare Campus, Haifa, Israel

³Pediatric Cardiology, Ziv Medical Center, Safed, Israel

⁴Pediatric Cardiology and Adults with Congenital Heart Disease, Rambam Healthcare Campus, Haifa, Israel

^*Corresponding author: Avraham Lorber, Pediatric Cardiology and Adults with Congenital Heart Disease, Rambam Healthcare Campus, Haifa, Israel.

Received: April 02, 2022; Accepted: April 25, 2022; Published: May 06, 2022

Citation: Tal R, Ben-Ari J, Dotan M, Lorber A. Left Atrial Decompression on Extracorporeal Membrane Oxygenation of a Neonate with Fulminant Enteroviral Myocarditis. Case Rep Clin Cardiol J. 2022; 2(1): 107.

Download PDF

Left Atrial Decompression on Extracorporeal Membrane Oxygenation of a Neonate with Fulminant Enteroviral Myocarditis

Abstract

Initiation of extracorporeal membrane oxygenation may increase left ventricular volume, pressure and wall stress. Left atrial decompression may reduce ventricular wall stress and filling pressures, thus improving coronary perfusion. This may contribute to ventricular functional recovery. The pediatric experience consists mainly of postoperative congenital heart disease patients. Scarce reports exist about neonates on extracorporeal membrane oxygenation due to other acute cardiac causes. We present a neonate with fulminant myocarditis with severe pulmonary edema upon extracorporeal membrane oxygenation initiation, which improved almost instantly after atrial decompression.

Keywords: Extracorporeal memebrane oxygenation; Lung edema; Atrial septostomy; Myocarditis

Article Details

Left Atrial Decompression on Extracorporeal Membrane Oxygenation of a Neonate with Fulminant Enteroviral Myocarditis