Tetralogy of Fallot palliation in a COVID-19 positive neonate
- PMID: 32474332
- PMCID: PMC7247454
- DOI: 10.1016/j.jclinane.2020.109914
Tetralogy of Fallot palliation in a COVID-19 positive neonate
Abstract
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Although severe multisystemic manifestations have been defined in adults, there is limited data on the disease burden of COVID-19 in infants and children.
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We present the case of a 15-day-old infant who was born with Tetralogy of Fallot (TOF), and was found to be COVID-19 positive on day 7 of life.
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Among symptomatic children, 5% have dyspnea or hypoxemia, and 0.6% progress to acute respiratory distress or multi organ dysfunction.
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In the face of this sustained public health crisis, the concomitant occurrence of SARS-CoV-2 with pediatric congenital heart disease may become more common; guidance on appropriate management of patients is imperative to ensure patient safety.
Conflict of interest statement
Declaration of competing interest The authors declare that there is no conflict of interest.
Comment on
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Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records.Lancet. 2020 Mar 7;395(10226):809-815. doi: 10.1016/S0140-6736(20)30360-3. Epub 2020 Feb 12. Lancet. 2020. PMID: 32151335 Free PMC article.
References
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- Ramakrishnan K.V., Zurakowski D., Pastor W. Symptomatic tetralogy of Fallot in young infants: primary repair or shunt—Pediatric Health Information System database analysis. World J Pediatr Congenit Heart Surg. 2018;9(5):539–545. - PubMed
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