Unexpected stormy course after uneventful device closure of atrial septal defect - Possibly due to post-COVID-19 inflammatory state

COVID-19 infection has myriad manifestations from self-limiting illness to stormy multi-organ failure. A 28-year-old woman negative for COVID reverse transcription-polymerase chain reaction underwent an uneventful elective device closure of atrial septal defect on intubation anesthesia. While a brie...

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Bibliographic Details
Published inAnnals of pediatric cardiology Vol. 16; no. 2; pp. 127 - 130
Main Authors Singhi, Anil, Mohapatra, Soumya, Mukherjee, Sanjeev, Das, Soumen, Maulick, Tanumoy, De, Arnab
Format Journal Article
LanguageEnglish
Published Mumbai Wolters Kluwer India Pvt. Ltd 01.03.2023
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Wolters Kluwer Medknow Publications
Subjects
Acute respiratory distress syndrome
Case Report
Case reports
covid antibody
COVID-19
Diuretics
Infection
multisystem inflammation
Respiratory distress syndrome
transcatheter intervention
Acute respiratory distress syndrome
multisystem inflammation
COVID antibody
transcatheter intervention
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Summary:COVID-19 infection has myriad manifestations from self-limiting illness to stormy multi-organ failure. A 28-year-old woman negative for COVID reverse transcription-polymerase chain reaction underwent an uneventful elective device closure of atrial septal defect on intubation anesthesia. While a brief postprocedural endotracheal bleed was noted, significant hypoxia and respiratory distress ensued after extubation with biventricular dysfunction, pleural effusion, and radiographic evidence of acute respiratory distress syndrome. COVID antibodies were positive, and inflammatory markers were elevated. After a conservative multipronged medical management including anticoagulation, antibiotics, aspirin, beta-blocker, diuretics, and sildenafil, she improved in 1 week. The clinical course during this pandemic era gives a possibility of a post-COVID inflammatory syndrome as a potential etiology.
ISSN:0974-2069
0974-5149
DOI:10.4103/apc.apc_105_22