Influenza A (H3N2) Induced Fulminant Myocarditis Requiring Mechanical Circulatory Support

Abstract

The authors report a case of fulminant myocarditis from an influenza A (H3N2) infection in a healthy individual who experienced cardiac arrest requiring extracorporeal membrane oxygenation (ECMO). The case highlights the management of complications arising from the use of ECMO including differential hypoxia and left ventricular overload requiring left ventricular venting. (Level of Difficulty: Beginner.)

Keywords

• cardiac assist devices
• cardiomyopathy
• hemodynamics
• left ventricle
• reduced ejection fraction
• systolic heart failure