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New onset severe right ventricular failure associated with COVID-19 in a young infant without previous heart disease

Moisés Rodríguez‐González, Patricia Rodríguez‐Campoy, María Isabel Sánchez-Códez, Irene Gutiérrez-Rosa, Ana Castellano‐Martínez, Amado Rodríguez‐Benítez

2020Cardiology in the Young20 citationsDOIOpen Access PDF

Abstract

We present our recent experience with a 6-month-old infant with a personal history of short bowel syndrome that presented with fever, cyanosis, and cardiogenic shock secondary to severe pulmonary hypertension and right ventricular failure without pulmonary thromboembolism. He did not present signs of toxin-mediated disease or Kawasaki disease. He was finally diagnosed with SARS-CoV-2 infection. If this presentation is confirmed in future research, the severe cardiovascular impairment in children with COVID-19 could be also attributable to the primary pulmonary infection, not only to a multisystem inflammatory syndrome but also in children without heart disease.

Topics & Concepts

MedicineCardiogenic shockPulmonary hypertensionPresentation (obstetrics)Heart failureDiseaseCardiologyCoronavirus disease 2019 (COVID-19)Internal medicineShock (circulatory)Right heart failureHeart diseaseMyocarditisKawasaki diseasePediatricsSurgeryInfectious disease (medical specialty)Myocardial infarctionArteryKawasaki Disease and Coronary ComplicationsCOVID-19 Impact on ReproductionMechanical Circulatory Support Devices
New onset severe right ventricular failure associated with COVID-19 in a young infant without previous heart disease | Litcius