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2 . 2022

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

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.

Keywords:hypertrophic cardiomyopathy (HCM); submitral HCM; MYH7; coronavirus; myocarditis; sudden cardiac death

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Dzemeshkevich S.L., Motreva A.P., Мартьянова Yu.B., Kalmykova O.V., Dombrovskaya A.V., Nikituk T.G., Podolyak D.G., Polyak M.E., Zaklyazminskaya E.V. COVID-19 infection and myocarditis after surgical left ventricle reconstruction in patient with hypertrophic cardiomyopathy. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (2): 13–8.  DOI: https://doi.org/10.33029/2308-1198-2022-10-2-13-18  (in Russian)

References

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)
Вскрытие
Medicine today

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