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Rescue Venoarterial Extracorporeal Membrane Oxygenation After Cardiac Arrest in COVID-19 Myopericarditis: A Case Report.
Sampaio, Pedro Paulo N; Ferreira, Roberto M; de Albuquerque, Felipe N; Colafranceschi, Alexandre S; Almeida, Alexandre C P; Nunes, Marcos Alexandre V; Mansur Filho, João; Lima, Ricardo Antônio C.
  • Sampaio PPN; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil; Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha do Fundão, Rio de Janeiro, RJ 21941-913, Brazil.
  • Ferreira RM; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil; Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho Paulo Rocco 255, Ilha do Fundão, Rio de Janeiro, RJ 21941-913, Brazil. Electronic address: betomf@terra.com.br.
  • de Albuquerque FN; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil.
  • Colafranceschi AS; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil.
  • Almeida ACP; Samaritano Hospital, Intensive Care Unit, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil.
  • Nunes MAV; Samaritano Hospital, Intensive Care Unit, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil.
  • Mansur Filho J; Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil.
  • Lima RAC; Samaritano Hospital, Intensive Care Unit, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil; Federal University of the State of Rio de Janeiro, Department of General Surgery, Rua Silva Ramos 32, Tijuca, Rio de Janeiro, RJ 20270-330, Brazil.
Cardiovasc Revasc Med ; 28S: 57-60, 2021 07.
Article in English | MEDLINE | ID: covidwho-841087
ABSTRACT
Coronavirus Disease-2019 (COVID-19) has been associated with potentially life threatening cardiovascular complications, including fulminant myocarditis and cardiac tamponade. Optimal management strategies are still unclear, including the role of immunomodulatory therapies and extracorporeal membrane oxygenation (ECMO) in the context of cardiogenic shock. We report a case of a middle-aged female with COVID-19 who developed respiratory distress and hemodynamic deterioration with elevated troponin levels on the seventh day of symptoms. Echocardiography demonstrated pericardial effusion with diastolic restriction of the right ventricle. Cardiac arrest developed during pericardiocentesis, resulting in emergency thoracotomy and pericardial drainage. Venoarterial ECMO was subsequently initiated due to refractory cardiogenic shock. Tocilizumab, immunoglobulin, methylprednisolone and convalescent plasma were added to supportive care, with progressive recovery of cardiac function and successful weaning from mechanical ventilation. This case highlights the potential role of ECMO, convalescent plasma and immunomodulatory therapies in the management of cardiogenic shock associated with COVID-19 myopericarditis.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Extracorporeal Membrane Oxygenation / COVID-19 / Heart Arrest / Myocarditis Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Female / Humans / Middle aged Language: English Journal: Cardiovasc Revasc Med Journal subject: Vascular Diseases / Cardiology Year: 2021 Document Type: Article Affiliation country: J.carrev.2020.09.038

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Extracorporeal Membrane Oxygenation / COVID-19 / Heart Arrest / Myocarditis Type of study: Case report / Diagnostic study Topics: Long Covid Limits: Female / Humans / Middle aged Language: English Journal: Cardiovasc Revasc Med Journal subject: Vascular Diseases / Cardiology Year: 2021 Document Type: Article Affiliation country: J.carrev.2020.09.038