Does COVID-19 pose a threat for patients after univentricular palliation? Thrombosis of the Fontan tunnel
Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
35086604
PubMed Central
PMC8861546
DOI
10.1017/s1047951122000348
PII: S1047951122000348
Knihovny.cz E-zdroje
- Klíčová slova
- COVID-19, thrombosis, total cavopulmonary connection, univentricular circulation,
- MeSH
- antikoagulancia terapeutické užití MeSH
- COVID-19 * MeSH
- dítě MeSH
- Fontanova operace * škodlivé účinky MeSH
- lidé MeSH
- pooperační komplikace MeSH
- syndrom hypoplazie levého srdce * chirurgie MeSH
- trombóza * etiologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- antikoagulancia MeSH
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.
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