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BMC Anesthesiol ; 21(1): 280, 2021 11 13.
Article in English | MEDLINE | ID: covidwho-1515436

ABSTRACT

BACKGROUND: COVID-19 can induce acute respiratory distress syndrome (ARDS). In patients with congenital heart disease, established treatment strategies are often limited due to their unique cardiovascular anatomy and passive pulmonary perfusion. CASE PRESENTATION: We report the first case of an adult with single-ventricle physiology and bidirectional cavopulmonary shunt who suffered from severe COVID-19 ARDS. Treatment strategies were successfully adopted, and pulmonary vascular resistance was reduced, both medically and through prone positioning, leading to a favorable outcome. CONCLUSION: ARDS treatment strategies including ventilatory settings, prone positioning therapy and cannulation techniques for extracorporeal oxygenation must be adopted carefully considering the passive venous return in patients with single-ventricle physiology.


Subject(s)
COVID-19/diagnostic imaging , Cardiomegaly/diagnostic imaging , Cardiovascular Surgical Procedures/methods , Dextrocardia/diagnostic imaging , Extracorporeal Membrane Oxygenation/methods , Genetic Diseases, X-Linked/diagnostic imaging , Heterotaxy Syndrome/diagnostic imaging , Patient Positioning/methods , COVID-19/complications , COVID-19/therapy , Cardiomegaly/complications , Cardiomegaly/therapy , Dextrocardia/complications , Dextrocardia/therapy , Genetic Diseases, X-Linked/complications , Genetic Diseases, X-Linked/therapy , Heterotaxy Syndrome/complications , Heterotaxy Syndrome/therapy , Humans , Male , Middle Aged , Severity of Illness Index
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