Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report.
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Cardiovascular Surgical Procedures
/
Extracorporeal Membrane Oxygenation
/
Cardiomegaly
/
Genetic Diseases, X-Linked
/
Dextrocardia
/
Patient Positioning
/
Heterotaxy Syndrome
/
COVID-19
Type of study:
Case report
/
Prognostic study
Topics:
Long Covid
Limits:
Humans
/
Male
/
Middle aged
Language:
English
Journal:
BMC Anesthesiol
Year:
2021
Document Type:
Article
Affiliation country:
S12871-021-01504-5
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