New onset severe right ventricular failure associated with COVID-19 in a young infant without previous heart disease

Cardiol Young. 2020 Sep;30(9):1346-1349. doi: 10.1017/S1047951120001857. Epub 2020 Jun 30.

Abstract

We present our recent experience with a 6-month-old infant with a personal history of short bowel syndrome that presented with fever, cyanosis, and cardiogenic shock secondary to severe pulmonary hypertension and right ventricular failure without pulmonary thromboembolism. He did not present signs of toxin-mediated disease or Kawasaki disease. He was finally diagnosed with SARS-CoV-2 infection. If this presentation is confirmed in future research, the severe cardiovascular impairment in children with COVID-19 could be also attributable to the primary pulmonary infection, not only to a multisystem inflammatory syndrome but also in children without heart disease.

Keywords: COVID-19; SARS-CoV-2; cardiogenic shock; heart failure; paediatric multisystem inflammatory syndrome; pulmonary hypertension.

Publication types

  • Case Reports

MeSH terms

  • Betacoronavirus / isolation & purification
  • COVID-19
  • COVID-19 Drug Treatment
  • Computed Tomography Angiography* / methods
  • Coronavirus Infections* / complications
  • Coronavirus Infections* / diagnosis
  • Coronavirus Infections* / drug therapy
  • Coronavirus Infections* / physiopathology
  • Coronavirus Infections* / therapy
  • Critical Care / methods
  • Echocardiography / methods
  • Electrocardiography / methods
  • Heart Failure* / diagnosis
  • Heart Failure* / etiology
  • Heart Failure* / physiopathology
  • Heart Failure* / therapy
  • Humans
  • Hypertension, Pulmonary* / diagnosis
  • Hypertension, Pulmonary* / etiology
  • Infant
  • Male
  • Pandemics*
  • Pneumonia, Viral* / complications
  • Pneumonia, Viral* / diagnosis
  • Pneumonia, Viral* / physiopathology
  • Pneumonia, Viral* / therapy
  • Radiography, Thoracic
  • Respiration, Artificial / methods
  • SARS-CoV-2
  • Severity of Illness Index
  • Shock, Cardiogenic* / diagnosis
  • Shock, Cardiogenic* / etiology
  • Systemic Inflammatory Response Syndrome* / diagnosis
  • Systemic Inflammatory Response Syndrome* / physiopathology
  • Treatment Outcome

Supplementary concepts

  • pediatric multisystem inflammatory disease, COVID-19 related