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Related Experiment Videos

Prolonged extracorporeal circulation for acute myocarditis.

C E Moreno-Cabral1, R J Moreno-Cabral, J J McNamara

  • 1University of Hawaii John A. Burns School of Medicine, Honolulu.

The International Journal of Artificial Organs
|August 1, 1992
PubMed
Summary

Portable cardiopulmonary support (CPS) effectively treated a child with acute myocarditis and cardiac arrest. This life-saving technology enabled long-distance transport and recovery, demonstrating its value for reversible heart failure outside the operating room.

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Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Surgery
  • Critical Care Medicine

Background:

  • Acute myocardial failure, particularly in children, presents significant clinical challenges.
  • Total circulatory support is seldom utilized outside the immediate postoperative cardiac surgery setting.

Observation:

  • An 8-year-old girl experienced acute viral myocarditis leading to cardiac arrest.
  • She required cardiopulmonary bypass for resuscitation and stabilization.
  • A portable cardiopulmonary support (CPS) system, including a centrifugal pump and membrane oxygenator, was employed.

Findings:

  • The patient was successfully managed on CPS for 3 days in Hawaii before transport to San Diego (4200 km) for continued mechanical support.
  • Adequate cardiac function was restored, allowing for discontinuation of CPS after 6 days.

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  • The patient has shown sustained recovery and remains well two and a half years post-event.

    • Implications:

    • Portable cardiopulmonary support is a viable and effective option for managing acute, reversible catastrophic heart disease in pediatric patients.
    • This technology facilitates prolonged mechanical circulatory support and inter-facility transport, expanding treatment possibilities beyond the operating room.
    • The successful application of CPS in this case highlights its potential for broader clinical use in critical cardiac conditions.