Tetralogy of Fallot palliation in a COVID-19 positive neonate


Salik I, Mehta B.J Clin Anesth. 2020 May 25;66:109914. doi: 10.1016/j.jclinane.2020.109914. Online ahead of print.PMID: 32474332 Free PMC article.



Although severe multisystemic manifestations have been defined in adults, there is limited data on the disease burden of COVID-19 in infants and children.

We present the case of a 15-day-old infant who was born with Tetralogy of Fallot (TOF), and was found to be COVID-19 positive on day 7 of life.

Among symptomatic children, 5% have dyspnea or hypoxemia, and 0.6% progress to acute respiratory distress or multi organ dysfunction.

In the face of this sustained public health crisis, the concomitant occurrence of SARS-CoV-2 with pediatric congenital heart disease may become more common; guidance on appropriate management of patients is imperative to ensure patient safety.