PMID- 27648312
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160920
LR  - 20201001
IS  - 2090-6420 (Print)
IS  - 2090-6439 (Electronic)
IS  - 2090-6420 (Linking)
VI  - 2016
DP  - 2016
TI  - Hemodynamic Transesophageal Echocardiography-Guided Venous-Arterial 
      Extracorporeal Membrane Oxygenation Support in a Case of Giant Cell Myocarditis.
PG  - 5407597
LID - 10.1155/2016/5407597 [doi]
LID - 5407597
AB  - Giant cell myocarditis (GCM) is a rare and commonly fatal form of fulminant 
      myocarditis. During the acute phase, while immunosuppressive therapy is 
      initiated, venoarterial extracorporeal membrane oxygenation (VA-ECMO) support is 
      commonly used as a bridge to heart transplantation or recovery. Until recently, 
      conventional transesophageal echocardiography and transthoracic echocardiography 
      were the tools available for hemodynamic assessment of patients on this form of 
      mechanical circulatory support. Nevertheless, both techniques have their 
      limitations. We present a case of a 54-year-old man diagnosed with GCM requiring 
      VA-ECMO support that was monitored under a novel miniaturized transesophageal 
      echocardiography (hTEE) probe recently approved for 72 hours of continuous 
      hemodynamic monitoring. Our case highlights the value of this novel, flexible, 
      and disposable device for hemodynamic monitoring, accurate therapy guidance, and 
      potential VA-ECMO weaning process of patients with this form of severe 
      myocarditis.
FAU - Ripoll, Juan G
AU  - Ripoll JG
AUID- ORCID: 0000-0003-4908-9774
AD  - Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Road, 
      Jacksonville, FL, USA.
FAU - Ratzlaff, Robert A
AU  - Ratzlaff RA
AD  - Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Road, 
      Jacksonville, FL, USA; Department of Anesthesiology, Mayo Clinic, 4500 San Pablo 
      Road, Jacksonville, FL, USA.
FAU - Menke, David M
AU  - Menke DM
AD  - Department of Pathology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, USA.
FAU - Olave, Maria C
AU  - Olave MC
AD  - Department of Pathology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, USA.
FAU - Maleszewski, Joseph J
AU  - Maleszewski JJ
AD  - Division of Anatomic Pathology, Mayo Clinic, 200 First St SW, Rochester, MN, USA.
FAU - Diaz-Gomez, Jose L
AU  - Diaz-Gomez JL
AUID- ORCID: 0000-0002-8377-1737
AD  - Department of Critical Care Medicine, Mayo Clinic, 4500 San Pablo Road, 
      Jacksonville, FL, USA; Department of Anesthesiology, Mayo Clinic, 4500 San Pablo 
      Road, Jacksonville, FL, USA; Department of Neurosurgery, Mayo Clinic, 4500 San 
      Pablo Road, Jacksonville, FL, USA.
LA  - eng
PT  - Journal Article
DEP - 20160825
PL  - United States
TA  - Case Rep Crit Care
JT  - Case reports in critical care
JID - 101598416
PMC - PMC5014940
EDAT- 2016/09/21 06:00
MHDA- 2016/09/21 06:01
PMCR- 2016/08/25
CRDT- 2016/09/21 06:00
PHST- 2016/06/08 00:00 [received]
PHST- 2016/08/03 00:00 [accepted]
PHST- 2016/09/21 06:00 [entrez]
PHST- 2016/09/21 06:00 [pubmed]
PHST- 2016/09/21 06:01 [medline]
PHST- 2016/08/25 00:00 [pmc-release]
AID - 10.1155/2016/5407597 [doi]
PST - ppublish
SO  - Case Rep Crit Care. 2016;2016:5407597. doi: 10.1155/2016/5407597. Epub 2016 Aug 
      25.