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.
Artículo
en Inglés
| 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.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Cardiovasculares
/
Oxigenación por Membrana Extracorpórea
/
Cardiomegalia
/
Enfermedades Genéticas Ligadas al Cromosoma X
/
Dextrocardia
/
Posicionamiento del Paciente
/
Síndrome de Heterotaxia
/
COVID-19
Tipo de estudio:
Reporte de caso
/
Estudio pronóstico
Tópicos:
Covid persistente
Límite:
Humanos
/
Masculino
/
Middle aged
Idioma:
Inglés
Revista:
BMC Anesthesiol
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
S12871-021-01504-5
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