tetano
Editor, Senior Moderator
Cureus
. 2024 Feb 18;16(2):e54421.
doi: 10.7759/cureus.54421. eCollection 2024 Feb. Right-to-Left Intra-cardiac Shunt in a COVID-19 Patient Leading to Stroke and Poor Prognosis: A Case Report and Review of the Literature
Ahmad Damlakhy[SUP] 1 [/SUP], Husam Barham[SUP] 2 [/SUP], Mohammad Omar[SUP] 2 [/SUP], Zohaib Khan[SUP] 1 [/SUP], Montaser Elkholy[SUP] 1 [/SUP]
Affiliations
Coronavirus disease 2019 (COVID-19) often presents with a wide range of complications, including respiratory distress, acute respiratory distress syndrome (ARDS), and hypercoagulable states with resultant cerebrovascular incidents. Intra- and extra-pulmonological shunts can further complicate patient courses, leading to persistent hypoxemia and paradoxical emboli, resulting in potentially life-threatening consequences, necessitating a comprehensive, multidisciplinary approach to patient care. Here we present the case of a 73-year-old male who experienced severe persistent hypoxemic respiratory failure, superimposed methicillin-resistant Staphylococcus aureus (MRSA) pneumonia, and stroke with a previously undiagnosed patent foramen ovale (PFO) contributing to his clinical presentation.
Keywords: ards (acute respiratory distress syndrome); covid 19; intracardiac shunt; paradoxical emboli; pulmonary arterial hypertension; refractory hypoxemia; superimposed infections.
. 2024 Feb 18;16(2):e54421.
doi: 10.7759/cureus.54421. eCollection 2024 Feb. Right-to-Left Intra-cardiac Shunt in a COVID-19 Patient Leading to Stroke and Poor Prognosis: A Case Report and Review of the Literature
Ahmad Damlakhy[SUP] 1 [/SUP], Husam Barham[SUP] 2 [/SUP], Mohammad Omar[SUP] 2 [/SUP], Zohaib Khan[SUP] 1 [/SUP], Montaser Elkholy[SUP] 1 [/SUP]
Affiliations
- PMID: 38510887
- PMCID: PMC10954315
- DOI: 10.7759/cureus.54421
Coronavirus disease 2019 (COVID-19) often presents with a wide range of complications, including respiratory distress, acute respiratory distress syndrome (ARDS), and hypercoagulable states with resultant cerebrovascular incidents. Intra- and extra-pulmonological shunts can further complicate patient courses, leading to persistent hypoxemia and paradoxical emboli, resulting in potentially life-threatening consequences, necessitating a comprehensive, multidisciplinary approach to patient care. Here we present the case of a 73-year-old male who experienced severe persistent hypoxemic respiratory failure, superimposed methicillin-resistant Staphylococcus aureus (MRSA) pneumonia, and stroke with a previously undiagnosed patent foramen ovale (PFO) contributing to his clinical presentation.
Keywords: ards (acute respiratory distress syndrome); covid 19; intracardiac shunt; paradoxical emboli; pulmonary arterial hypertension; refractory hypoxemia; superimposed infections.