An Autopsy Case of Fulminant Myocarditis with Massive Left Ventricular Calcification

Intern Med. 2024;63(6):821-827. doi: 10.2169/internalmedicine.2200-23. Epub 2024 Mar 15.ABSTRACTMyocardial calcification in myocarditis is rare and may be linked to poor outcomes. We herein report a case of fulminant myocarditis with massive myocardial calcification and its pathological outcomes at autopsy. A 49-year-old man experienced chest pain and was diagnosed with acute myocarditis. His cardiac function did not recover despite mechanical circulatory support in combination with V-A extracorporeal membrane oxygenation and IMPELLA CP®. He eventually developed sepsis and gastrointestinal bleeding and died on day 27. Diffuse myocardial calcification was observed on computed tomography at autopsy. The pathological autopsy depicted that calcification filled every myocardial cell in the left ventricle.PMID:38494729 | DOI:10.2169/internalmedicine.2200-23

Source: Internal Medicine - March 18, 2024 Category: Internal Medicine Authors: Satsuki Yagi-Nakajima Masanobu Miura Shun Sawada Takahiro Funaki Kumi Uchimura Kai Susukita Tsubasa Hatakeyama Yuta Kagaya Hiroki Saito Kenjiro Sato Masanori Kanazawa Masateru Kondo Hideaki Endo Hiroshi Yaegashi Akihiro Nakamura Source Type: research