Severe hypoxemia in a patient with right ventricular myocardial infarction and SARS-CoV-2 infection.

ABSTRACT:

Background

Refractory hypoxemia after right ventricular myocardial infarction and concomitant SARS-CoV-2 infection represents an uncommon, yet particularly challenging clinical scenario. We report a challenging diagnostic case of refractory hypoxemia due to right-to-left shunt highlighting contemporary challenges and pitfalls in acute cardiovascular care associated with the current COVID-19 pandemic.

Case presentation

A 52-year-old patient admitted for inferior acute myocardial infarction developed rapidly worsening hypoxemia shortly after primary percutaneous coronary intervention. RT-PCR screening for SARS-CoV-2 was positive, even though the patient had no prior symptoms. A computed tomography pulmonary angiogram excluded pulmonary embolism and showed only mild interstitia

SUBMITTER: Albuquerque F 

PROVIDER: S-EPMC9330950 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature