COVID ‐19 complicating perioperative management of LVAD implantation: A case report and systematic review

We report a 31-year-old male patient who developed COVID-19 during LVAD implantation. His postoperative period was complicated by severe pneumonia and mechanical ventilation (MV) leading to right ventricular failure (RVF) and inotrope necessity. He experienced multiple complications, but eventually recovered. We present a systematic review of LVAD recipients and COVID-19. Among 14 patients, the mean age was 62.7 years, 78.5% were male. A total of  5 patients (35.7%) required MV and 3 patients (21.4%) died. A total of 2 patients (14.2%) had thromboembolic events. This case and systematic review suggest LVAD recipients are at particular risk of unfavorable outcomes and they may be more susceptible to RVF in the setting of COVID-19, particular ly during perioperative period.

Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Deborah de S á Pereira Belfort, Bruno Biselli, Mônica Samuel Ávila, Maria Tereza Sampaio de Sousa Lira, Filomena Regina Barbosa Gomes Galas, Samuel Padovani Steffen, Fabio Antonio Gaiotto, Fabio Biscegli Jatene, Edimar Alcides Bocchi, Silvia M Tags: CASE REPORT Source Type: research