Giant cell myocarditis masquerading as orbital myositis with a rapid, fulminant course necessitating mechanical support and heart transplantation

Vinisha Garg, Weiyi Tan, Reza Ardehali, Janki Shah, Tracy Huynh, Olcay Aksoy

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)371-375
Number of pages5
JournalESC Heart Failure
Volume4
Issue number3
DOIs
StatePublished - Aug 2017
Externally publishedYes

Keywords

  • Endomyocardial biopsy
  • Giant cell myocarditis
  • HeartWare ventricular assist device
  • Impella device
  • Orbital myositis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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