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Does COVID-19 pose a threat for patients after univentricular palliation? Thrombosis of the Fontan tunnel

Part of: Covid-19

Published online by Cambridge University Press:  28 January 2022

Denisa Jičínská Open the ORCID record for Denisa Jičínská [Opens in a new window] ,
Michal Jičínský  and
Karel Koubský
Denisa Jičínská*
Affiliation:
Children’s Heart Centre, Second Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic
Michal Jičínský
Affiliation:
Children’s Heart Centre, Second Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic
Karel Koubský
Affiliation:
Children’s Heart Centre, Second Faculty of Medicine, Charles University in Prague and Motol University Hospital, Prague, Czech Republic
*
Author for correspondence: D. Jičínská, MD, Children’s Heart Centre, Motol University Hospital, V Úvalu 84, 150 06, Prague 5, Czech Republic. Tel: +420723980115; Fax: +420224432920. E-mail: [email protected]
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Abstract

A 6-year-old boy, born with hypoplastic left heart syndrome, underwent total cavopulmonary connection and later presented in a significantly deteriorated condition. A CT scan revealed multiple thrombi in the extracardiac conduit, although the patient was maintained on an effective anticoagulant therapy. Further examination revealed anamnestic antibodies suggesting that the patient had gone through a clinically inapparent COVID-19 infection, which we conclude most likely contributed to his hypercoagulable state and led to the formation of significant thrombi impairing the patient’s haemodynamics. The patient underwent a surgical thrombectomy; there were no post-operative thrombotic complications.

Keywords

COVID-19thrombosisuniventricular circulationtotal cavopulmonary connection
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 10 , October 2022 , pp. 1698 - 1700
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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