Case Reports

Acute fulminant myocarditis complicated by complete atrioventricular block with favourable outcome in a resource-limited setting

Quratulain Merchant, Babar S Hassan, Saleem Akhtar

Abstract


Complete heart block in paediatric acute fulminant myocarditis (AFM) is rare and carries a grave prognosis. Aggressive haemodynamic support, especially mechanical support, i.e. with an extracorporeal membrane oxygenator during the initial presentation, improves the outcome in such patients. Unavailability of mechanical support in developing countries warrants aggressive rhythm management to achieve haemodynamic stability. We report a case of a 5-month-old who presented with AFM complicated with complete heart block. Quick recognition, aggressive cardiopulmonary management and transcatheter placement of a temporary pacemaker as soon as possible resulted in complete recovery in this patient. Aggressive management with rhythm control can lead to a favourable outcome in paediatric patients with AFM complicated by complete heart block, even in a resource-limited set-up. 


Authors' affiliations

Quratulain Merchant, Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan

Babar S Hassan, Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan

Saleem Akhtar, Department of Pediatrics and Child Health, Aga Khan University, Karachi, Pakistan

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Keywords

Acute fulminant myocarditis; atrioventricular block

Cite this article

South African Journal of Child Health 2015;9(1):30-32. DOI:10.7196/SAJCH.656

Article History

Date submitted: 2013-08-27
Date published: 2015-01-22

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