SARS-CoV-2 in a Neonate with Truncus Arteriosus: Management and Surgical Correction Timing.
Congenital heart disease
Management
Neonate
SARS-CoV-2
Surgical correction
Journal
Pediatric cardiology
ISSN: 1432-1971
Titre abrégé: Pediatr Cardiol
Pays: United States
ID NLM: 8003849
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
received:
29
04
2021
accepted:
09
10
2021
pubmed:
22
10
2021
medline:
19
2
2022
entrez:
21
10
2021
Statut:
ppublish
Résumé
Children seem to be less affected by SARS-CoV-2 infection. High risk categories should include patients with Congenital Heart Disease (CHD), both children and adults. We describe the case of a newborn with a postnatal diagnosis of Truncus Arteriosus (TA) type A1 without 22.q.11 deletion syndrome. Soon after birth, SARS-CoV-2 infection was transmitted by the father. Due to the onset of heart failure symptoms, diuretic therapy has been set up. For worsening of clinical conditions, inotropic support with milrinone was added. A progressive reduction of N-terminal-pro hormone BNP over the days has been observed. Fourteen days after the negativization of the nasopharyngeal swab, the patient underwent surgical repair with Cardiopulmonary Bypass (CPB). Postoperative course was not complicated and the patient was discharged in good clinical conditions. There is very little evidence suggesting the optimal timing for surgery in SARS-CoV-2 positive patients. With a lack of specific guidelines, current strategy suggests a symptom-based or a polymerase chain reaction (PCR) test-based approach. In our case it was challenging to determine COVID-19 impact on heart failure symptoms. Our case is the first describing the surgical correction of CHD in a 40 days year old patient, performed in CPB after 14 days from SARS-CoV-2 infection negativization.
Identifiants
pubmed: 34674017
doi: 10.1007/s00246-021-02757-0
pii: 10.1007/s00246-021-02757-0
pmc: PMC8529372
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
470-473Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Lancet Child Adolesc Health. 2020 Oct;4(10):721-727
pubmed: 32711687
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):485-487
pubmed: 32316830
Eur J Cardiothorac Surg. 2020 Dec 1;58(6):1254-1260
pubmed: 33175141
J Pediatr. 2020 Dec;227:302-307.e2
pubmed: 32730815
Pediatr Neonatol. 2020 Apr;61(2):131-132
pubmed: 32199864
Am J Cardiol. 1965 Sep;16(3):406-25
pubmed: 5828135
Int J Cardiol. 2020 Jun 15;309:70-77
pubmed: 32248966
Ann Thorac Surg. 2020 Aug;110(2):701-706
pubmed: 32302660
J Clin Anesth. 2020 Nov;66:109914
pubmed: 32474332
Pediatrics. 2020 Jun;145(6):
pubmed: 32179660
Lancet. 2020 Mar 7;395(10226):809-815
pubmed: 32151335
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
JAMA Pediatr. 2020 Jul 1;174(7):722-725
pubmed: 32215598