Article Text
Summary
Idiopathic giant cell myocarditis (GCM) is a rare and rapidly progressing form of myocarditis predominantly affecting younger people. We report a case of a 23-year-old athletic patient who presented with features of acute heart failure due to GCM and discuss his management that included a left ventricular assist device as a bridge to transplant. He died immediately following the transplant.
We also review the literature on this rare disease, highlighting the advances in the management of the disease including immunosuppressive therapy, ventricular assist devices and heart transplantation.
- Cardiovascular medicine
- Heart failure
- Radiology (diagnostics)
- Transplantation
- Arrhythmias
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Footnotes
Contributors IK participated directly in the care of the patient and drafted the manuscript. JM analysed pathological specimen and participated in the writing of the manuscript. GM participated directly in the care of the patient and participated in the writing of the manuscript. AC participated directly in the care of the patient and supervised IK in the writing of this manuscript. All authors read and approved the final manuscript.
Competing interests None declared.
Patient consent Consent obtained from next of kin.
Provenance and peer review Not commissioned; externally peer reviewed.