Circulatory support for prolonged electro-mechanical standstill in fulminant pediatric myocarditis

Shriprasad R. Deshpande, Renee C. Willett, Karthik Ramakrishnan, Syed Murfad Peer, Pranava Sinha

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Pediatric patients with fulminant myocarditis can rarely present with complete heart block with severe hemodynamic compromise, cardiac arrest and require circulatory support. Additionally, patients with cardiac dysfunction that require extracorporeal membrane oxygenation (ECMO) support sometimes develop cardiac stun or standstill. These factors are associated with extremely poor survival. We present a case of fulminant myocarditis presenting with dense heart block, no ventricular electrical activity resuscitated with ECMO that developed prolonged cardiac standstill. We present the clinical course, management including ECMO followed by biventricular assist devices, pacing and review supporting literature. We hope that the case will highlight challenges in management and decision making in such patients.

Original languageEnglish (US)
Pages (from-to)446-450
Number of pages5
JournalInternational Journal of Artificial Organs
Issue number6
StatePublished - Jun 2021

All Science Journal Classification (ASJC) codes

  • Bioengineering
  • Medicine (miscellaneous)
  • Biomaterials
  • Biomedical Engineering

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