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Transient left ventricular wall thickening in a 14-year-old girl with influenza A myocarditis

Published online by Cambridge University Press:  30 January 2014

Carol A. Wittlieb-Weber ,
Matthew A. Harris  and
Joseph W. Rossano
Carol A. Wittlieb-Weber*
Affiliation:
Department of Pediatric Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America.
Matthew A. Harris
Affiliation:
Department of Pediatric Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America.
Joseph W. Rossano
Affiliation:
Department of Pediatric Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, PA, United States of America.
*
Correspondence to: Dr C. A. Wittlieb-Weber, MD, The Children’s Hospital of Philadelphia, Main Hospital, 8th Floor, NW30, Philadelphia, PA 19104, United States of America. Tel: +267 426 7937; Fax: +215 590 5825; E-mail: wittliebc@email.chop.edu
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Abstract

We describe a case of influenza A myocarditis and transient left ventricular wall thickening in a 14-year-old girl presenting with acute heart failure. Admission echocardiogram revealed significant left ventricular hypertrophy with depressed left ventricular systolic function. The aetiology of the ventricular thickening was demonstrated to be myocardial oedema using cardiac magnetic resonance imaging. The natural course of this unusual clinical presentation of acute myocarditis and the importance of cardiac magnetic resonance imaging in this challenging clinical setting are discussed.

Keywords

Paediatric cardiologymyocarditisacute heart failurecardiac magnetic resonance imaging
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 1 , January 2015 , pp. 187 - 190
Copyright
© Cambridge University Press 2014 

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References

1. Hauser, AM, Gordon, S, Cieszkowski, J, Timmis, GC. Severe transient left ventricular “hypertrophy” occurring during acute myocarditis. Chest 1983; 83: 275–277.CrossRefGoogle ScholarPubMed
2. Hiramitsu, S, Morimoto, S, Kato, S, et al. Transient ventricular wall thickening in acute myocarditis a serial echocardiographic and histopathologic study. Jpn Circ J 2001; 65: 863–866.Google Scholar
3. Hiramitsu, S, Morimoto, S, Kato, S, et al. Significance of transient left ventricular wall thickening in acute lymphocytic myocarditis. Heart Vessels 2007; 22: 25–29.CrossRefGoogle ScholarPubMed
4. Friedrich, MG, Sechtem, U, Schulz-Menger, J, et al. International Consensus Group on Cardiovascular Magnetic Resonance in Myocarditis. J am Coll Cardiol 2009: 1475–1487.Google Scholar

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