Myocardial Localization of Coronavirus in COVID-19 Cardiogenic Shock
Guido TavazziDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Pavia ,Carlo PellegriniCardiac Surgery, Department of Intensive Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,M. MaurelliICU2, Department of Intensive Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,Mirko BelliatoICU1 Department of Intensive Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,Fabio SciuttiICU1 Department of Intensive Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,Andrea BottazziICU1 Department of Intensive Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,Paola Alessandra SepeCardiology Unit, Ospedale Maggiore , ASST, Lodi ,Tullia ResascoCardiology Unit, Ospedale Maggiore , ASST, Lodi ,Rita CamporotondoCoronary Care Unit and Laboratory of Clinical and Experimental Cardiology, Department of Medical Sciences and Infectious Diseases, IRCCS Policlinico San Matteo Foundation , Pavia ,Raffaele BrunoDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Pavia ,Fausto BaldantiDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Pavia ,Stefania PaolucciMolecular Virology Unit, Department of Diagnostic Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,Stefano PelenghiCardiac Surgery, Department of Intensive Medicine, IRCCS Policlinico San Matteo Foundation , Pavia ,Giorgio Antonio IottiDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Pavia ,Francesco MojoliDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia , Pavia ,Eloisa ArbustiniTransplant Research Area and Centre for Inherited Cardiovascular Diseases, Department of Medical Sciences and Infectious Diseases, IRCCS Policlinico San Matteo Foundation , Pavia ,
2020en
ABI
Аннотация
We describe the first case of acute cardiac injury directly linked to myocardial localization of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a 69-year-old patient with flu-like symptoms rapidly degenerating into respiratory distress, hypotension, and cardiogenic shock. The patient was successfully treated with venous-arterial extracorporeal membrane oxygenation (ECMO) and mechanical ventilation. Cardiac function fully recovered in 5 days and ECMO was removed. Endomyocardial biopsy demonstrated low-grade myocardial inflammation and viral particles in the myocardium suggesting either a viraemic phase or, alternatively, infected macrophage migration from the lung.
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