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Giant cell myocarditis (GCM) usually presents as acute dilated cardiomyopathy that does not improve with guideline-based treatments. Ventricular tachycardia and heart block occur in a substantial number of patients. Diagnosis by endomyocardial biopsy can allow for the addition of immunosuppressive therapy and timely use of mechanical circulatory support when indicated. Recent studies suggest that...
Hintergrund Pneumatisch betriebene extrakorporale mechanische Kreislaufsunterstützungssysteme (Ventricular Assist Device—VAD) für Säuglinge und Kleinkinder wurden 1992 in die klinische Praxis eingeführt. Die anfänglichen Ergebnisse gerade bei sehr jungen Patienten waren verbesserungsbedürftig. Seit dieser Zeit sind die Systeme gerade in Bezug auf Kanülen, Konnektoren und Heparinbeschichtung des...
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