Successful percutaneous flow redirection to the juvenile patient of fulminant myocarditis treated with percutaneous cardio-pulmonary support

Percutaneous cardio-pulmonary support (PCPS) system is a powerful life support system for acute circulation failure. This life support system requires more than a fourteen-French cannula to the artery. Insertion with such a large tube sometimes induces damage to the peripheral circulation. We experienced the successful salvage with percutaneous flow redirection from the acute circulation failure of the limb in a juvenile patient with fulminant myocarditis treated with PCPS. The case is a 12-year-old girl. She was admitted to our hospital by ambulance. Ventricular fibrillation was found at her admission, and defibrillation was not effective. We attached her to the PCPS life support system. After this procedure, her left leg color turned to pale, and no arterial sound was heard with Doppler flow-meter. We inserted a four French vessel sheath to the superficial artery with the guidewire guidance which was inserted to left superficial artery from the contra lateral femoral artery. The parallel blood flow circulation to the four-French sheath was made from the cannula of the PCPS system. After this procedure, the left leg of the juvenile patient was rescued.