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Impact of coronavirus disease 2019 in a child who underwent ventricular septal defect device closure: a case report.

Saud A BahaidarahAhmed M DohainGaser A AbdelmohsenAbeer A AlnajjarJameel Al-Ata
Published in: European heart journal. Case reports (2020)
This child had multiple risk factors, including malnutrition and persistent pulmonary hypertension (PH) after late closure of the VSD. The pre-existing PH could have been aggravated by the lung condition associated with COVID-19 and the respiratory failure triggered by SARS-CoV-2 infection. The patient presented with ventricular systolic dysfunction, elevated troponin serum levels and newly developed trifascicular block, which were indicative of myocardial injury. The elevated inflammatory markers and multi-organ dysfunction seem to corroborate multisystem inflammatory syndrome in children, which was described recently among paediatric patients with COVID-19.
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