Acute Cor Pulmonale in COVID-19-Related ARDS: Improvement With Almitrine Infusion.

Huette, Pierre; Beyls, Christophe; Guilbart, Mathieu; Haye, Guillaume; Najid, Fatim-Zahra; Mestan, Benjamin; Roger, Pierre-Alexandre; Dupont, Hervé; Abou-Arab, Osama; Mahjoub, Yazine

Huette, Pierre; Beyls, Christophe; Guilbart, Mathieu; Haye, Guillaume; Najid, Fatim-Zahra; Mestan, Benjamin; Roger, Pierre-Alexandre; Dupont, Hervé; Abou-Arab, Osama; Mahjoub, Yazine.

Huette P; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Beyls C; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Guilbart M; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Haye G; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Najid FZ; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Mestan B; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Roger PA; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Dupont H; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Abou-Arab O; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Mahjoub Y; Department of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.

JACC Case Rep ; 2(9): 1311-1314, 2020 Jul 15.

Article in English | MEDLINE | ID: covidwho-599457

ABSTRACT

ABSTRACT

Coronavirus disease-19 (COVID-19)-related severe acute respiratory distress syndrome can lead to acute cor pulmonale. We report a case of acute cor pulmonale secondary to severe COVID-19 acute respiratory distress syndrome diagnosed with transesophageal echocardiography. Almitrine infusion allowed rapid enhancement of right ventricular function as well as improvement in oxygenation. (Level of Difficulty Intermediate.).

Keywords

ACE2, angiotensin-converting enzyme 2; ACP, acute cor pulmonale; ARDS; ARDS, acute respiratory distress syndrome; CI, cardiac index; COVID-19; COVID-19, coronavirus disease-19; CT, computed tomography; Fio2, fraction of inspired oxygen; Pao2, partial pressure of oxygen; RV, right ventricle; RVSWI, right ventricular stroke work index; SARS-CoV-2; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; TEE, transesophageal echocardiography; acute cor pulmonale; almitrine

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report Language: English Journal: JACC Case Rep Year: 2020 Document Type: Article Affiliation country: J.jaccas.2020.06.011

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