| Alveolar hemorrhage after percutaneous cardiopulmonary support in a patient with fulminant myocarditis: report of two cases |
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, , , , , , |
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이화여자대학교 의과대학 내과학교실 |
| 증례 : 전격성 심근염 환자에서 경피적 심폐보조 시행 후 발생한 폐포 출혈 2예 |
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박신실&#;박상언&#;오성욱&#;양정훈&#;강은해&#;전은석&#;성기익, , , , , , |
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Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea |
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| Abstract |
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Mechanical circulatory support (MCS) is the treatment of choice for profound shock that is refractory to medical treatment. Percutaneous cardiopulmonary support (PCPS) is preferred as the MCS for fulminant myocarditis because it is cheaper than VAD and it can be easily applied percutaneously at bedside, but it has many kinds of mechanical problems and patient complications, including pulmonary hemorrhage. We experienced two patients who were diagnosed with fulminant myocarditis along with cardiogenic shock, and they recovered by pharmacologic therapy and PCPS.
Several days after wearing from PCPS, they presented with hemoptysis and bilateral lung infiltrates. By performing bronchoalveolar lavage (BAL), we confirmed the presence of diffuse alveolar hemorrhage (DAH). They recovered from those events spontaneously with only supportive care and without any steroid therapy.(Korean J Med 71:S1003-S1007, 2006)
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| Key Words:
Myocarditis, Extracorporeal membrane oxygenation, Lung, Hemorrhage. |
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