Tachyarrhythmia as a possible symptom of coronavirus in a neonate diagnosed with transposition of the great arteries.
J Card Surg
; 36(7): 2578-2581, 2021 Jul.
Article
in English
| MEDLINE | ID: covidwho-1189761
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Transposition of Great Vessels
/
COVID-19
Type of study:
Case report
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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