Giant cell myocarditis masquerading as orbital myositis with a rapid, fulminant course necessitating mechanical support and heart transplantation. (8th March 2017)

• Record Type: Journal Article
• Authors: Garg, Vinisha; Tan, Weiyi; Ardehali, Reza; Shah, Janki; Huynh, Tracy; Aksoy, Olcay
• Is Part Of: ESC heart failure. Volume 4:Number 3(2017)
• Page Start: 371
• Page End: 375
• Publication Date: 2017-03-08
• Subjects: Giant cell myocarditis -- Orbital myositis -- Endomyocardial biopsy -- Impella device -- HeartWare ventricular assist device; Heart failure -- Periodicals; 616.129005
• DOI: 10.1002/ehf2.12141
• Languages: English
• ISSNs: 2055-5822

Abstract

Abstract: Giant cell myocarditis (GCM), a rapidly progressive inflammation of the myocardium, is associated with fulminant heart failure, refractory ventricular arrhythmias, and conduction system abnormalities. Few case reports have noted orbital myositis as the initial clinical presentation. Our case demonstrates a unique presentation of GCM with only ocular symptoms, which unlike prior studies, rapidly progressed to heart failure, tachyarrhythmias, and conduction disease. Our case necessitated quick recognition and treatment with mechanical support making this the first known case of GCM with successful placement of biventricular assist devices and ultimately with heart transplantation.