Intraventricular Conundrum in a SARS-CoV-2-Positive Patient With Elevated Biomarkers of Myocardial Injury

María L Servato; Filipa X Valente; Laura Gutiérrez García-Moreno; Guillem Casas; Rubén Fernández-Galera; Gemma Burcet; Gisela Teixidó-Tura; Hug Cuéllar Calabria; Ignacio Ferreira González; José F Rodríguez-Palomares

doi:10.1016/j.jaccas.2021.01.030

Intraventricular Conundrum in a SARS-CoV-2-Positive Patient With Elevated Biomarkers of Myocardial Injury

JACC Case Rep. 2021 Apr;3(4):566-572. doi: 10.1016/j.jaccas.2021.01.030. Epub 2021 Mar 31.

Authors

María L Servato^{1

2}, Filipa X Valente^{1

2}, Laura Gutiérrez García-Moreno^{1

2}, Guillem Casas^{1

2}, Rubén Fernández-Galera^{1

2}, Gemma Burcet³, Gisela Teixidó-Tura^{1

2}, Hug Cuéllar Calabria³, Ignacio Ferreira González^{1

4}, José F Rodríguez-Palomares^{1

2}

Affiliations

¹ Department of Cardiology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Barcelona, Spain.
² Center for Biomedical Investigation Cardiovascular Consortium, Madrid, Spain.
³ Radiology Service, Institute for Diagnostic Imaging, Vall d'Hebron University Hospital, Barcelona, Spain.
⁴ Center for Biomedical Investigation Epidemiology and Public Health Consortium, Madrid, Spain.

Abstract

We present a case of acute myocarditis with left ventricular dysfunction and intracavitary thrombosis in a 55-year-old man with severe acute respiratory syndrome coronavirus 2 infection (coronavirus disease 2019) who was admitted with bilateral atypical pneumonia. The patient was treated with anticoagulation and optimal heart failure therapy and had an improvement of left ventricular function and thrombus resolution. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance; COVID-19; COVID-19, coronavirus disease-2019; Fio2, fraction of inspired oxygen; LV, left ventricular; LVEF, left ventricular ejection fraction; NT-proBNP, N-terminal pro–B-type natriuretic peptide; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; cardiovascular magnetic resonance (CMR); computed tomography; echocardiography; myocarditis; thrombus.

Publication types

Case Reports