VA-ECMO and Impella in Fulminant Rhinovirus-induced Myocarditis Complicated by Cardiogenic Shock: A Case Report

Impella removal, and ventilator weaning.Post-recovery, he was discharged on guidelinedirected heart failure therapy, including beta-blockers and diuretics, with normalized renal function and resolved tachycardia (Fig. 1). ConclusionRhinovirus typically causes mild infections but rarely triggers severe myocarditis, as demonstrated.Early VA-ECMO/Impella and multidisciplinary care reversed shock, suggesting immune-mediated injury.Emphasizes assessing atypical pathogens in acute cardiomyopathy and urgent circulatory support.Post-discharge heart failure care remains vital, stressing vigilance for non-severe viruses in critical cardiac presentations.