COVID-19 infection and myocarditis after surgical left ventricle reconstruction in patient with hypertrophic cardiomyopathy

Q4 Medicine

Clinical and Experimental Surgery Pub Date : 2022-01-01 DOI:10.33029/2308-1198-2022-10-2-13-18

S.L. Dzemeshkevich , A. Motreva, Y. Martyanova, O. V. Kalmykova, A. Dombrovskaya, T. G. Nikityuk, D. Podolyak, M. Polyak, E. Zaklyazminskaya

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引用次数: 0

Abstract

It has now been shown that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing a new COVID-19 infection, can penetrate the myocardium and have both direct damaging and toxic effects. The main cardiac manifestations of this disease are fulminant myocarditis, atrial and ventricular arrhythmias, and heart failure. Cardiac arrhythmias are common complication not only in adult patients, but also in children. In this paper, we present a clinical case of the young female patient who successfully underwent operation because of a submitral (diffuse-generalized) form of HCM, with a long event-free postoperative course, and with the rapid cardiac dysfunction, syncopes and cardiac arrhythmias after COVID-19 infection. Syncopes were caused by self-terminating short runs of ventricular tachycardia that did not trigger ICD shock. After the medical treatment of myocarditis, she has a clinical improvement and further favorable postoperative period.

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肥厚性心肌病患者左心室重建术后COVID-19感染与心肌炎

现在已经证明，引起新的COVID-19感染的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)可以穿透心肌，具有直接损害和毒性作用。本病的主要心脏表现为暴发性心肌炎、心房和室性心律失常以及心力衰竭。心律失常不仅是成人的常见并发症，在儿童中也很常见。本文报告一例年轻女性患者，因冠状下(弥漫性-广泛性)型HCM成功行手术，术后无事件发生时间长，COVID-19感染后迅速出现心功能障碍、晕厥和心律失常。晕厥是由自我终止的室性心动过速短促引起的，没有触发ICD休克。心肌炎经药物治疗后，临床好转，术后期进一步好转。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Surgery Medicine-Surgery

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Journal “Clinical and Experimental Surgery. Petrovsky journal” – a broad-based journal on surgery established to merge all the surgical specialties into the integrated intellectual space provided with up to date systems of communication and information. Following this aim the on-line support of the journal involves extended version and multimedia materials. As soon as the modern surgery has exceeded the scopes of the application-oriented science, the editorial board will encourage the researches of academic importance and facilitate creation of the fresh lines of research as well as the translation of the research results into the practical surgery. Broad-based profile of the journal and multidisciplinary approach to the arrangement of the research materials are to create a start point for the discussions activating the development of the innovative, joint cross-sectoral and international projects. Thematic scope of the journal: Cardiac and vascular surgery Thoracic surgery Abdominal surgery Transplantation and artificial organs Endoscopic surgery Reconstructive and microvascular surgery Physiology, physiopathology, diagnostics Fundamental research and interdisciplinary technologies Education Bioethics History of surgery.