Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report

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 adul...

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Autores principales: Schmidt, Götz, Koch, Christian, Wolff, Matthias, Sander, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589629/
https://www.ncbi.nlm.nih.gov/pubmed/34773980
http://dx.doi.org/10.1186/s12871-021-01504-5
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author Schmidt, Götz
Koch, Christian
Wolff, Matthias
Sander, Michael
author_facet Schmidt, Götz
Koch, Christian
Wolff, Matthias
Sander, Michael
author_sort Schmidt, Götz
collection PubMed
description 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.
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spelling pubmed-85896292021-11-15 Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report Schmidt, Götz Koch, Christian Wolff, Matthias Sander, Michael BMC Anesthesiol Case Report 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. BioMed Central 2021-11-13 /pmc/articles/PMC8589629/ /pubmed/34773980 http://dx.doi.org/10.1186/s12871-021-01504-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Schmidt, Götz
Koch, Christian
Wolff, Matthias
Sander, Michael
Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
title Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
title_full Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
title_fullStr Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
title_full_unstemmed Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
title_short Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
title_sort severe covid-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589629/
https://www.ncbi.nlm.nih.gov/pubmed/34773980
http://dx.doi.org/10.1186/s12871-021-01504-5
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