Asymmetric septal edema masking as hypertrophy in an infant with COVID-19 myocarditis.

TitleAsymmetric septal edema masking as hypertrophy in an infant with COVID-19 myocarditis.
Publication TypeJournal Article
Year of Publication2021
AuthorsEdwards JJ, Harris MA, Toib A, Burstein DS, Rossano JW
JournalProg Pediatr Cardiol
Pagination101464
Date Published2021 Nov 22
ISSN1058-9813
Abstract

Cardiac disease in pediatric patients due to coronavirus SARS-CoV-2 disease (COVID-19) include myocarditis and multisystem inflammatory syndrome, both of which can present with a broad range in severity. Here we describe an infant with COVID-19 causing fulminant myocarditis with inotrope-resistant acute heart failure requiring extracorporeal membrane oxygenation. The patient demonstrated an atypical finding of localized septal thickening suggestive of hypertrophic cardiomyopathy, but the diagnosis of myocarditis was confirmed by cardiac MRI. Serial echocardiography illustrated complete resolution of septal hypertrophy and normalized cardiac function. The current report highlights the potential severity of COVID-19 associated myocarditis, the potential for recovery, and the utility of cardiac MRI in confirming the mechanism.

DOI10.1016/j.ppedcard.2021.101464
Alternate JournalProg Pediatr Cardiol
PubMed ID34840488
PubMed Central IDPMC8607688
Grant ListT32 HL007915 / HL / NHLBI NIH HHS / United States