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Case Reports
. 2020 Jul 15;2(9):1315-1320.
doi: 10.1016/j.jaccas.2020.04.001. Epub 2020 Apr 8.

The Imperfect Cytokine Storm: Severe COVID-19 With ARDS in a Patient on Durable LVAD Support

Vinh Q Chau  1 , Estefania Oliveros  1 , Kiran Mahmood  1 , Aditi Singhvi  1 , Anuradha Lala  1 , Noah Moss  1 , Umesh Gidwani  1 , Donna M Mancini  1 , Sean P Pinney  1 , Aditya Parikh  1
Affiliations
Case Reports

The Imperfect Cytokine Storm: Severe COVID-19 With ARDS in a Patient on Durable LVAD Support

Vinh Q Chau et al. JACC Case Rep. .

Abstract

As health systems worldwide grapple with the coronavirus disease-2019 (COVID-19) pandemic, patients with durable LVAD support represent a unique population at risk for the disease. This paper outlines the case of such a patient who developed COVID-19 complicated by a "cytokine storm" with severe acute respiratory distress syndrome and myocardial injury and describes the challenges that arose during management.

Keywords: ARDS; ARDS, acute respiratory distress syndrome; COVID-19; COVID-19, coronavirus disease-2019; LVAD; LVAD, left ventricular assist device; MODS, multiorgan dysfunction syndrome; PEA, pulseless electrical activity; RV, right ventricle; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; cytokine storm.

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Figures

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Graphical abstract
Figure 1
Figure 1
Clinical Course Timeline of Severe COVID-19 Infection in This Patient on LVAD Support
Central Illustration
Central Illustration
Clinical Guidance and Considerations at Mount Sinai for Managing COVID-19 in Patients on LVAD Support
See this image and copyright information in PMC

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