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

BMC Anesthesiology

Michael Sander¹  Christian Koch¹  Götz Schmidt¹  Matthias Wolff¹ 

[1] Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Justus Liebig University of Giessen, Rudolf-Buchheim-Strasse 7, 35392, Giessen, Germany;

关键词: Tricuspid valve atresia;    Transposition of the great arteries;    SARS-CoV-2;    Perioperative;    Bidirectional cavopulmonary shunt;   

DOI  :  10.1186/s12871-021-01504-5

来源: Springer

【 摘 要 】

BackgroundCOVID-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 presentationWe 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.ConclusionARDS 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.

【 授权许可】

CC BY