Severe COVID-19 After Recent Heart Transplantation Complicated by Allograft Dysfunction

Juan Vilaro, MD; Mohammad Al-Ani, MD; Diana Gomez Manjarres, MD; Jorge E. Lascano, MD; Kartik Cherabuddi, MD; Akram Y. Elgendy, MD; Mark S. Bleiweiss, MD; Alex M. Parker, MD; Mustafa M. Ahmed, MD; Juan M. Aranda, Jr., MD

JACC: Case Reports (Jul 2020)

Severe COVID-19 After Recent Heart Transplantation Complicated by Allograft Dysfunction

Juan Vilaro, MD,
Mohammad Al-Ani, MD,
Diana Gomez Manjarres, MD,
Jorge E. Lascano, MD,
Kartik Cherabuddi, MD,
Akram Y. Elgendy, MD,
Mark S. Bleiweiss, MD,
Alex M. Parker, MD,
Mustafa M. Ahmed, MD,
Juan M. Aranda, Jr., MD

Affiliations

Juan Vilaro, MD: Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida; Address for correspondence: Dr. Juan Vilaro, Division of Cardiovascular Medicine, University of Florida College of Medicine, 1329 SW 16th Street, P.O. Box 100288, Gainesville, Florida 32610.
Mohammad Al-Ani, MD: Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida
Diana Gomez Manjarres, MD: Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, Florida
Jorge E. Lascano, MD: Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, Florida
Kartik Cherabuddi, MD: Division of Infectious Diseases, Department of Medicine, University of Florida, Gainesville, Florida
Akram Y. Elgendy, MD: Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida
Mark S. Bleiweiss, MD: Congenital Heart Center, University of Florida Health Shands Children's Hospital, University of Florida, Gainesville, Florida
Alex M. Parker, MD: Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida
Mustafa M. Ahmed, MD: Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida
Juan M. Aranda, Jr., MD: Division of Cardiovascular Medicine, Department of Medicine, University of Florida, Gainesville, Florida

Journal volume & issue: Vol. 2, no. 9
pp. 1347 – 1350

Abstract

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A 50-year-old male presented with atrial flutter 25 days after heart and kidney transplantation. Rejection was excluded, but he developed severe COVID-19 infection with cardiac allograft dysfunction. Despite continued corticosteroid and tacrolimus therapy, he remained aviremic. Respiratory and myocardial functions recovered after a week of mechanical ventilation. The cardiomyopathy was stress induced. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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