Successive Circulatory Support Stages: A Triple Bridge to Recovery from Fulminant Myocarditis

Dawn E. Jaroszewski, Michael C. Marranca, Christopher N. Pierce, Raymond K. Wong, Eric D. Steidley, Robert L. Scott, Patrick A. DeValeria, Francisco Arabia

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Fulminant myocarditis with rapid onset of symptoms and hemodynamic compromise is a rare indication for mechanical support. Because of the potentially reversible nature of this illness, advanced mechanical circulatory support is warranted to achieve recovery or as a bridge to transplantation. Circulatory device options currently available allow for a phased implementation of support modalities in a manner that reduces costs and patient risk. We present a patient with fulminant myocarditis where extracorporeal membrane oxygenation (ECMO) support escalated to short-term Levitronix CentriMag (Levitronix, Waltham, MA) biventricular assist devices (BiVADs). These in turn were exchanged, without major surgery, to long-term paracorporeal VADs (Thoratec, Pleasanton, CA). After rehabilitation and nearly total recovery, the patient was weaned from mechanical circulatory support after 104 cumulative days.

Original languageEnglish (US)
Pages (from-to)984-986
Number of pages3
JournalJournal of Heart and Lung Transplantation
Issue number9
StatePublished - Sep 2009

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation


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