Coronavirus disease-19 (COVID-19)-related severe acute respiratory distress syndrome can lead to acute cor pulmonale. We report a case of acute cor pulmonale secondary to severe COVID-19 acute respiratory distress syndrome diagnosed with transesophageal echocardiography. Almitrine infusion allowed rapid enhancement of right ventricular function as well as improvement in oxygenation. (Level of Difficulty: Intermediate.).
Keywords: ACE2, angiotensin-converting enzyme 2; ACP, acute cor pulmonale; ARDS; ARDS, acute respiratory distress syndrome; CI, cardiac index; COVID-19; COVID-19, coronavirus disease-19; CT, computed tomography; Fio2, fraction of inspired oxygen; Pao2, partial pressure of oxygen; RV, right ventricle; RVSWI, right ventricular stroke work index; SARS-CoV-2; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; TEE, transesophageal echocardiography; acute cor pulmonale; almitrine.
© 2020 The Authors.