Veno-arterial extracorporeal membrane oxygenation may be useful in critically ill COVID-19 patients with suspected cardiac injury

摘要

Recent studies reported that 12%–19.7% of patients with coronavirus disease-19 (COVID-19)exhibit cardiac injuries manifesting as an ejection fraction decline and troponin I elevation[1,2]. Cardiac injury is associated with higher mortality, the need for ICU care, and severeCOVID-19 [3]. Recently, a 63-year-old man presented to Seoul Metropolitan GovernmentSeoulNational University Boramae Medical Center with severe respiratory manifestationsand fulminant myocarditis with an enlarged left ventricle and depressed left ventricular function(ejection fraction 32%). He was placed on extracorporeal membrane oxygenation (ECMO).After treatment with intravenous immunoglobulin, steroids, and antiviral therapy, heart functionrecovered within 2 weeks .