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Família ABC

  • Família ABC
  • Arquivos Brasileiros de Cardiologia
  • International Journal of Cardiovascular Sciences
  • ABC Heart Failure & Cardiomyopathy
  • ABC Imagem Cardiovascular
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  1. Início
  2. Palavra-chave: Biopsy
IJCS
Case Report

Fulminant Necrotizing Eosinophilic Myocarditis Successfully Treated With Veno-Arterial Extracorporeal Membrane Oxygenation and High-Dose Steroids

Tamara Pereira et al. Mariana Tinoco Bebiana Faria Olga Azevedo … Roberto Roncon Albuquerque António Lourenço

Abstract

Fulminant necrotizing eosinophilic myocarditis (FNEM) is a rare form of EM characterized by biventricular heart failure with hemodynamic deterioration, often requiring inotropes or mechanical circulatory support. Here, we report a case of a 43-year-old healthy woman with FNEM who was admitted with acute heart failure that rapidly progressed to cardiogenic shock and electrical storm, culminating in cardiac arrest. Early diagnosis and prompt administration of corticosteroids in combination with veno-arterial extracorporeal membrane oxygenation allowed complete recovery of biventricular systolic function.

  • Biopsy
  • Extracorporeal Membrane Oxygenation
  • Myocarditis
  • Steroids
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Creative Commons Attribution (CC BY) Creative Commons license
09/02/2024 DOI: 10.36660/ijcs.20230071 Visualizações 1
ABC
Original Article

Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions

Paulo M. Pêgo-Fernandes et al. Fabio Fernandes Barbara M. Ianni Sandra Serson Rohr … Isabela Miranda Bernardelli Fabio B. Jatene Sérgio A. Oliveira

OBJECTIVE: To assess, in a prospective way, the experience with video-assisted pericardioscopy obtained in patients with pericardial effusion of unclear etiology in the preoperative period. METHODS: From January 1998 to June 2000, 20 patients were operated upon with the aid of video-assisted pericardioscopy. On echocardiography, 17 of these patients had significant pericardial effusion, and 3 had moderate pericardial effusion. Video-assisted pericardioscopy was performed through a small incision of the Marfan type. RESULTS: The diagnosis of pericardial effusion was established as follows: idiopathic in 9 (45%) patients, neoplastic in 4 (20%), resulting from hypothyroidism in 3 (15%), tuberculous in 2 (10%), due to cholesterol in 1 (5%), and chylopericardial in 1 (5%). The biopsy was positive in 30% of the patients, and the etiology could not be defined in 45% of the patients. CONCLUSION: Video-assisted pericardioscopy proved to be a method with low morbidity and a high index of diagnostic positivity. A high percentage of pericardial effusions are caused by viral infections, which are not diagnosed through current methods, being, therefore, classified as idiopathic.

  • Biopsy
  • etiology
  • pericardial effusion
  • video-assisted thoracoscopy
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Creative Commons Attribution (CC BY) Creative Commons license
31/01/2007 DOI: 10.1590/S0066-782X2001001100002 Visualizações 1

Como citar este artigo

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Pereira T, Tinoco M, Faria B, Azevedo O, Albuquerque RR, Lourenço A. Fulminant Necrotizing Eosinophilic Myocarditis Successfully Treated With Veno-Arterial Extracorporeal Membrane Oxygenation and High-Dose Steroids. International Journal of Cardiovascular Sciences 2024;37:e20230071.

Formato de Documento Eletrônico (ABNT)

Pereira, Tamara; Tinoco, Mariana; Faria, Bebiana; Azevedo, Olga; Albuquerque, Roberto Roncon; Lourenço, António. Fulminant Necrotizing Eosinophilic Myocarditis Successfully Treated With Veno-Arterial Extracorporeal Membrane Oxygenation and High-Dose Steroids. International Journal of Cardiovascular Sciences, v. 37, e20230071, fev. 2024.

Formato de Documento Eletrônico (APA)

Pereira, T., Tinoco, M., Faria, B., Azevedo, O., Albuquerque, R. R., & Lourenço, A. (2024). Fulminant Necrotizing Eosinophilic Myocarditis Successfully Treated With Veno-Arterial Extracorporeal Membrane Oxygenation and High-Dose Steroids. International Journal of Cardiovascular Sciences, 37, e20230071.

Formato de Documento Eletrônico (ISO)

Pereira, Tamara and Tinoco, Mariana and Faria, Bebiana and Azevedo, Olga and Albuquerque, Roberto Roncon and Lourenço, António. Fulminant Necrotizing Eosinophilic Myocarditis Successfully Treated With Veno-Arterial Extracorporeal Membrane Oxygenation and High-Dose Steroids. International Journal of Cardiovascular Sciences [online]. 2024, vol. 37, [citado 2026-10-14], e20230071. Disponível em: <https://journals.cardiol.br/article/fulminant-necrotizing-eosinophilic-myocarditis-successfully-treated-with-veno-arterial-extracorporeal-membrane-oxygenation-and-high-dose-steroids-2/>. ISSN 2359-4802

EndNote RIS

Formato de Documento Eletrônico (Vancouver)

Pêgo-Fernandes PM, Fernandes F, Ianni BM, Rohr SS, Bernardelli IM, Jatene FB, Oliveira SA, et al. Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions. Arquivos Brasileiros de Cardiologia 2007;77(5):403-6.

Formato de Documento Eletrônico (ABNT)

Pêgo-Fernandes, Paulo M.; Fernandes, Fabio; Ianni, Barbara M.; Rohr, Sandra Serson; Bernardelli, Isabela Miranda; Jatene, Fabio B.; Oliveira, Sérgio A.. Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions. Arquivos Brasileiros de Cardiologia, v. 77, n. 5, p. 403-406, jan. 2007.

Formato de Documento Eletrônico (APA)

Pêgo-Fernandes, P. M., Fernandes, F., Ianni, B. M., Rohr, S. S., Bernardelli, I. M., Jatene, F. B., & Oliveira, S. A. (2007). Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions. Arquivos Brasileiros de Cardiologia, 77(5), 403-406.

Formato de Documento Eletrônico (ISO)

Pêgo-Fernandes, Paulo M. and Fernandes, Fabio and Ianni, Barbara M. and Rohr, Sandra Serson and Bernardelli, Isabela Miranda and Jatene, Fabio B. and Oliveira, Sérgio A.. Video-assisted pericardioscopy. How to improve diagnostic efficacy in pericardial effusions. Arquivos Brasileiros de Cardiologia [online]. 2007, vol. 77, n. 5, [citado 2026-10-14], pp. 403-406. Disponível em: <https://journals.cardiol.br/article/video-assisted-pericardioscopy-how-to-improve-diagnostic-efficacy-in-pericardial-effusions-2/>. ISSN 0066-782X

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