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
- heart failure
- mitral valve
- hypertrophic cardiomyopathy
- acute myocardial infarction
- cardiac resynchronization therapy
- single cell
- stem cells
- aortic stenosis
- hepatitis b virus
- metabolic syndrome
- acute coronary syndrome
- coronary artery
- low grade
- bone marrow
- coronary artery disease
- magnetic resonance
- atrial fibrillation
- glycemic control
- aortic valve
- insulin resistance
- ejection fraction