Hostname: page-component-745bb68f8f-d8cs5 Total loading time: 0 Render date: 2025-01-18T11:10:05.189Z Has data issue: false hasContentIssue false
  • English
  • Français

COVID-19 and ECMO support after neonatal congenital heart surgery: a case report

Part of: Covid-19 Aortic Coarctation Surgery

Published online by Cambridge University Press:  11 June 2021

Murat Cicek ,
Mehmet Akif Onalan Open the ORCID record for Mehmet Akif Onalan [Opens in a new window]  and
Nurgul Yurtseven
Murat Cicek
Affiliation:
Department of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Mehmet Akif Onalan*
Affiliation:
Department of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Nurgul Yurtseven
Affiliation:
Department of Anesthesiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
*
Author for correspondence: Mehmet Akif Onalan MD, Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research, İstanbul, Turkey. Tel:+905543015908. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Coronavirus disease 2019 causes respiratory and systemic disease and has led to a sudden epidemic affecting people of all ages. Patients with congenital heart disease represent a high-risk population. In this article, we present a newborn who required extracorporeal membrane oxygenation support for acute respiratory failure in the early postoperative period due to exposure to severe acute respiratory syndrome coronavirus 2 after aortic arch repair and ventricular septal defect closure. To the best of our knowledge, this patient represents the first neonatal case of severe acute respiratory syndrome coronavirus 2 infection after congenital heart surgery and is the youngest patient to need extracorporeal membrane oxygenation support.

Keywords

SARS-CoV-2neonatecongenital heart surgeryECMO
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 1 , January 2022 , pp. 150 - 153
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

The first COVID-19 case originated on November 17, according to Chinese officials searching for ‘Patient Zero’, 2020, from www. msn.comGoogle Scholar
World Health Organization: WHO, from https://www.who.int/emergencies/diseases/novel-coronavirus-2019 Google Scholar
Dolk, H, Loane, M, Garne, E. Congenital heart defects in Europe: prevalence and perinatal mortality, 2000 to 2005. Circulation 2011; 123: 841–849.10.1161/CIRCULATIONAHA.110.958405CrossRefGoogle ScholarPubMed
Sanna, G, Serrau, G, Bassareo, PP, Neroni, P, Fanos, V, Marcialis, MA. Children’s heart and COVID-19: up-to-date evidence in the form of a systematic review. Eur J Pediatr 2020; 1–9. doi: 10.1007/s00431-020-03699-0 Google ScholarPubMed
Qiu, H, Wu, J, Hong, L, et al. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study. Lancet Infect Dis 2020; 20: 689–696.10.1016/S1473-3099(20)30198-5CrossRefGoogle Scholar
Dilli, D, Tasoglu, I. Perioperative care of the newborns with congenital heart diseases in the time of COVID-19. Cardiol Young 2020; 30: 946–954.10.1017/S1047951120001845CrossRefGoogle ScholarPubMed
Extracorporeal Life Support Organization (ELSO) Registry, from https://www.elso.org/Registry/Statistics/ InternationalSummary.aspx (accessed 5 December 2020)Google Scholar
Dalton, HJ, Garcia-Filion, P, Holubkov, R, et al. Association of bleeding and thrombosis with outcome in extracorporeal life support. Pediatr Crit Care Med 2015; 16: 167–174.CrossRefGoogle ScholarPubMed
Kaushik, S, Ahluwalia, N, Gangadharan, S, et al. ECMO support in SARS-CoV2 multisystem inflammatory syndrome in children in a child. Perfusion 2021; 36: 524–528.10.1177/0267659120954386CrossRefGoogle ScholarPubMed
AHA/ASA Stroke Council Leadership. Temporary emergency guidance to US stroke centers during the coronavirus disease 2019 (COVID-19) pandemic: on behalf of the American Heart Association/American Stroke Association Stroke Council Leadership. Stroke 2020; 51: 1910–1912.10.1161/STROKEAHA.120.030023CrossRefGoogle Scholar
Werho, DK, Pasquali, SK, Yu, S, et al. Epidemiology of stroke in pediatric cardiac surgical patients supported with extracorporeal membrane oxygenation. Ann Thorac Surg 2015; 100: 1751–1757.10.1016/j.athoracsur.2015.06.020CrossRefGoogle ScholarPubMed
Stammers, AH, Mongero, LB, Tesdahl, EA, et al. The assessment of patients undergoing cardiac surgery for Covid-19: Complications occuring during cardiopulmonary bypass. Perfusion 2021; 1–9.Google Scholar
Henry, BM, Lippi, G. Poor survival with extracorporeal membrane oxygenation in acute respiratory distress syndrome (ARDS) due to cor- onavirus disease 2019 (COVID-19): pooled analysis of early reports. J Crit Care 2020; 58: 27–28.CrossRefGoogle Scholar
Jacobs, JP, Stammers, AH, St Louis, J, et al. Extracorporeal membrane oxygenation in the treatment of severe pulmonary and cardiac compromise in coronavirus disease 2019: Experience with 32 patients. ASAIO J 2020; 66: 722–730.CrossRefGoogle ScholarPubMed
Jacobs, JP, Stammers, AH, St Louis, J, et al. Multi-institutional analysis of 100 consecutive patients with COVID-19 and severe pulmonary compromise treated with extracorporeal membrane oxygenation: outcomes and trends over time. ASAIO J 2021; 67: 496–502.10.1097/MAT.0000000000001434CrossRefGoogle ScholarPubMed