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J Thorac Cardiovasc Surg 2007;133:1122-1123
© 2007 The American Association for Thoracic Surgery

Letter to the Editor

Extracorporeal life support: An effective and noninvasive way to treat acute necrotizing eosinophilic myocarditis

Ziad Khabbaz, MD, Jean-Michel Grinda, MD, Jean-Noël Fabiani, MD

The Université René Descartes, AP-HP, Service de Chirurgie Cardio-Vasculaire, Hôpital Européen Georges Pompidou, Paris, France

The first 20% of the full text of this article appears below.

To the Editor:

We read with great interest the case report of Kohout and colleagues1Go describing the successful management of acute necrotizing eosinophilic myocarditis (ANEM) with a biventricular assist device (BIVAD) and steroids.

ANEM is indeed a dramatic condition often leading to a fatal issue unless promptly managed with circulatory support and steroid administration.2Go Endomyocardial biopsy is essential to diagnosis confirmation and rapid therapeutic choice making.

The particularity of ANEM is rapid and spectacular circulatory improvement when steroids are administered early enough.2Go Therefore, we think that a BIVAD is probably too aggressive and that a far less-invasive mean, such as extracorporeal life support (ECLS), is . . . [Full Text of this Article]


Related Article

Reply to the Editor
Louis Samuels
J. Thorac. Cardiovasc. Surg. 2007 133: 1123-1124. [Extract] [Full Text] [PDF]





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