An Autopsy Case of Fulminant Myocarditis with Massive Left Ventricular Calcification.
Satsuki Yagi-NakajimaMasanobu MiuraShun SawadaTakahiro FunakiKumi UchimuraKai SusukitaTsubasa HatakeyamaYuta KagayaHiroki SaitoKenjiro SatoMasanori KanazawaMasateru KondoHideaki EndoHiroshi YaegashiAkihiro NakamuraPublished in: Internal medicine (Tokyo, Japan) (2024)
Myocardial calcification in myocarditis is rare and may be linked to poor outcomes. We herein report a case of fulminant myocarditis with massive myocardial calcification and its pathological outcomes at autopsy. A 49-year-old man experienced chest pain and was diagnosed with acute myocarditis. His cardiac function did not recover despite mechanical circulatory support in combination with V-A extracorporeal membrane oxygenation and IMPELLA CP ® . He eventually developed sepsis and gastrointestinal bleeding and died on day 27. Diffuse myocardial calcification was observed on computed tomography at autopsy. The pathological autopsy depicted that calcification filled every myocardial cell in the left ventricle.
Keyphrases
- left ventricular
- extracorporeal membrane oxygenation
- chronic kidney disease
- respiratory failure
- acute respiratory distress syndrome
- computed tomography
- liver failure
- mitral valve
- hypertrophic cardiomyopathy
- heart failure
- cardiac resynchronization therapy
- left atrial
- acute kidney injury
- intensive care unit
- single cell
- stem cells
- type diabetes
- transcatheter aortic valve replacement
- pulmonary artery
- acute coronary syndrome
- magnetic resonance
- positron emission tomography
- cell therapy
- pulmonary hypertension
- low grade
- septic shock
- image quality
- high grade
- coronary artery
- bone marrow
- glycemic control