COVID 19 infection requiring ECMO support after
Fontan operation

January 25, 2022 Advances in Health Care & Medical Education No Comments

The global spread of the novel severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) has resulted in an unparalleled pandemic associated with coronavirus disease
2019 (COVID-19). We report a case of severe COVID-19-associated with acute
respiratory distress syndrome (ARDS) in an adult with single-ventricle physiology after
total cavopulmonary palliation that evolved to veno-arterial extracorporeal membrane
oxygenation (ECMO). Adults with congenital heart disease represent a growing and
complex population of patients who requires a proactive and tailored treatment in case of
COVID-19 infection, especially those with single ventricle palliation as Fontan patients.
Patients with pre-existing heart diseases constitute a high-risk population for development
of a severe acute COVID-19 and for decompensation of cardiac conditions. To minimize
SARS-CoV-2 complications, extensive preventive measures are essential for these patients.

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