Use of VA ECMO and percutaneous palliation of ductal dependent coarctation in a neonate with trisomy 21 and COVID-19 pneumonia

Sandeep Sainathan; Martha Elisabeth Heal; Elman Frantz; Pace Johnston; Rebecca Smith; Mahesh Sharma

doi:10.1007/s12055-021-01204-2

Use of VA ECMO and percutaneous palliation of ductal dependent coarctation in a neonate with trisomy 21 and COVID-19 pneumonia

Indian J Thorac Cardiovasc Surg. 2021 Nov;37(6):698-701. doi: 10.1007/s12055-021-01204-2. Epub 2021 May 26.

Authors

Sandeep Sainathan¹, Martha Elisabeth Heal², Elman Frantz², Pace Johnston², Rebecca Smith³, Mahesh Sharma¹

Affiliations

¹ Department of Surgery, Section of Pediatric Cardiothoracic Surgery, University of North Carolina at Chapel Hill, 3040 Burnett- Womack building, Suite 3808, Chapel Hill, NC 27599 USA.
² Section of Pediatric Cardiology, University of North Carolina at Chapel Hill, Chapel Hill, NC USA.
³ Section of Pediatric Cardiac Critical Care, University of North Carolina at Chapel Hill, Chapel Hill, NC USA.

Abstract

We present a case of a neonate with trisomy 21, ductal-dependent aortic coarctation, and severe respiratory failure secondary to coronavirus disease 2019 (COVID-19) pneumonia. The neonate was managed with venoarterial extracorporeal membrane oxygenation (VA ECMO), palliative stenting of the coarctation, and a vascular plug occlusion of a large patent ductus arteriosus. The patient was successfully weaned off extracorporeal membrane oxygenation (ECMO). The patient is currently awaiting a definitive surgical repair in the near future.

Keywords: Aortic coarctation; COVID-19 disease; Down syndrome; ECMO; Stent; Vascular plug.

Publication types

Case Reports