Total Anomalous Pulmonary Venous Return in the Time of SARS-CoV-2—Case Report

Author:

Luca Alina-Costina12ORCID,Curpăn Alexandrina-Ștefania3ORCID,Manea Raluca-Stefania12,Butnariu Lacramioara Ionela24ORCID,Țarcă Elena5ORCID,Starcea Iuliana Magdalena6ORCID,Roșu Solange Tamara7,Mîndru Dana Elena1,Macsim Elena8,Adumitrăchioaiei Heidrun12,Pădureț Ioana Alexandra2

Affiliation:

1. Department of Pediatrics, Faculty of Medicine, Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania

2. Pediatrics Department, “St. Mary” Children’s Hospital, Vasile Lupu Street, No 62-64, 700309 Iasi, Romania

3. Department of Biology, Faculty of Biology, Alexandru Ioan Cuza University, 700505 Iasi, Romania

4. Department of Medical Genetics, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, University Street, No 16, 700115 Iasi, Romania

5. Department of Surgery II—Pediatric Surgery, ”Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania

6. Nephrology Clinic, “St. Mary” Children’s Hospital, Vasile Lupu Street, No 62-64, 700309 Iasi, Romania

7. Emergency Room, “St. Mary” Children’s Hospital, Vasile Lupu Street, No 62-64, 700309 Iasi, Romania

8. Radiology Department, “St. Mary” Children’s Hospital, Vasile Lupu Street, No 62-64, 700309 Iasi, Romania

Abstract

The management of children with complex and life-threatening heart malformations became a clinical conundrum during the SARS-CoV-2 pandemic. The pathophysiological features of the new coronavirus infection have raised major dilemmas regarding the postoperative evolution of an infected patient, and the epidemiological limitations have tightened the criteria for selecting cases. We present the case of a newborn diagnosed with total anomalous pulmonary venous return (TAPVR) who underwent surgical repair of the defect with favorable outcome, despite a prior diagnosis of SARS-CoV-2 infection. We discuss the medical and surgical management of TAPVR, highlighting possible management difficulties brought by the SARS-CoV-2 pandemic.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Reference53 articles.

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4. Woodwart, P.J., Kennedy, A., Sohaey, R., Byrne, J.L.B., Oh, K.Y., and Puchalski, M.D. (2016). Diagnostic Imaging: Obstetrics, Elsevier. [3rd ed.].

5. Anomalous pulmonary venous drainage: A pictorial essay with a CT focus;Lyen;J. Congenit. Cardiol.,2017

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