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

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...

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Autores principales:	Götz Schmidt, Christian Koch, Matthias Wolff, Michael Sander
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Tricuspid valve atresia Transposition of the great arteries SARS-CoV-2 Perioperative Bidirectional cavopulmonary shunt Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/8397b64a110941b08ffc74475db92851
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spelling	oai:doaj.org-article:8397b64a110941b08ffc74475db928512021-11-14T12:11:42ZSevere COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report10.1186/s12871-021-01504-51471-2253https://doaj.org/article/8397b64a110941b08ffc74475db928512021-11-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01504-5https://doaj.org/toc/1471-2253Abstract 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.Götz SchmidtChristian KochMatthias WolffMichael SanderBMCarticleTricuspid valve atresiaTransposition of the great arteriesSARS-CoV-2PerioperativeBidirectional cavopulmonary shuntAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tricuspid valve atresia Transposition of the great arteries SARS-CoV-2 Perioperative Bidirectional cavopulmonary shunt Anesthesiology RD78.3-87.3
spellingShingle	Tricuspid valve atresia Transposition of the great arteries SARS-CoV-2 Perioperative Bidirectional cavopulmonary shunt Anesthesiology RD78.3-87.3 Götz Schmidt Christian Koch Matthias Wolff Michael Sander Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
description	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.
format	article
author	Götz Schmidt Christian Koch Matthias Wolff Michael Sander
author_facet	Götz Schmidt Christian Koch Matthias Wolff Michael Sander
author_sort	Götz Schmidt
title	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_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_sort	severe covid-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/8397b64a110941b08ffc74475db92851
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Severe COVID-19 acute respiratory distress syndrome in an adult with single-ventricle physiology: a case report

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