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Tachyarrhythmia as a possible symptom of coronavirus in a neonate diagnosed with transposition of the great arteries.
Lopez, Raymond A; Padilla, Luz A; Sorabella, Robert A; Cleveland, David C; Rhodes, Leslie A; Dabal, Robert J.
  • Lopez RA; School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Padilla LA; Department of Surgery, Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Sorabella RA; Department of Surgery, Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Cleveland DC; Department of Surgery, Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Rhodes LA; Department of Pediatrics, Division of Pediatric Cardiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Dabal RJ; Department of Surgery, Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
J Card Surg ; 36(7): 2578-2581, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1189761
Semantic information from SemMedBD (by NLM)
1. Coronavirus Infections PROCESS_OF Infan
Subject
Coronavirus Infections
Predicate
PROCESS_OF
Object
Infan
2. Virus NEG_PROCESS_OF Patients
Subject
Virus
Predicate
NEG_PROCESS_OF
Object
Patients
3. oxygen TREATS COVID-19
Subject
oxygen
Predicate
TREATS
Object
COVID-19
4. Coronavirus Infections PROCESS_OF Infant, Newborn
Subject
Coronavirus Infections
Predicate
PROCESS_OF
Object
Infant, Newborn
5. Virus NEG_PROCESS_OF Patients
Subject
Virus
Predicate
NEG_PROCESS_OF
Object
Patients
6. oxygen TREATS COVID-19
Subject
oxygen
Predicate
TREATS
Object
COVID-19
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic poses broad challenges to healthcare systems and providers. The manifestations of this disease are still being described in a variety of different contexts and patient populations.

RESULTS:

We report the case of a neonate who demonstrated COVID-19 after surgical correction of transposition of the great arteries. In addition, the patient demonstrated an evolving and persistent tachyarrhythmia consistent with neither the most likely postoperative complications nor typical COVID-19.

DISCUSSION:

The patient had negative preoperative testing for the virus and presented with profound oxygen desaturation and respiratory failure several days postoperatively. This raised concern for a complication of his arterial switch operation. It was found that one of the patient's caregivers was an asymptomatic carrier of COVID-19, and imaging ruled out intracardiac shunting. After initiating treatment for COVID-19, the patient's oxygen requirements and need for anti-arrhythmic agents improved.

CONCLUSION:

We propose that, despite negative preoperative testing, coronavirus infection may present as refractory tachyarrhythmia, and may be considered along with surgical complications as a cause for unexplained hypoxemia postoperatively.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Transposition of Great Vessels / COVID-19 Type of study: Diagnostic study / Etiology study Topics: Long Covid Limits: Humans / Infant, Newborn Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15574

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Transposition of Great Vessels / COVID-19 Type of study: Diagnostic study / Etiology study Topics: Long Covid Limits: Humans / Infant, Newborn Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2021 Document Type: Article Affiliation country: Jocs.15574