Multisystem inflammatory syndrome in adults (MIS-A) following COVID-19 requiring venoarterial extracorporeal membrane oxygenation.

Abstract

The SARS-CoV-2 virus has caused a global pandemic with serious impact around the world. Patients most commonly present with severe lung involvement and acute respiratory failure; however, multisystem inflammatory syndrome in adults (MIS-A) is a known-although rare-complication. We present a case of a 49-year-old patient who presented with combined cardiogenic and vasodilatory shock and was diagnosed with MIS-A. He initially required venoarterial extracorporeal membrane oxygenation and Impella for haemodynamic support but was able to be weaned off these devices with complete recovery of left ventricular systolic function. This case demonstrates that MIS-A may present as haemodynamic collapse in adults, but complete recovery is possible with proper haemodynamic support.

• Authors: Seth Newman, Fengwei Zou, Shivank Madan, Daniel Sims
• Journal: BMJ case reports (BMJ Case Rep) Vol. 15 Issue 3 (Mar 07 2022) ISSN: 1757-790X [Electronic] England
• PMID: 35256368 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.

Topics

• Adult
• COVID-19
• Extracorporeal Membrane Oxygenation (adverse effects)
• Humans
• Male
• Middle Aged
• SARS-CoV-2
• Shock, Cardiogenic (diagnosis, etiology, therapy)
• Systemic Inflammatory Response Syndrome (complications, therapy)