Rapid Deterioration of Hospital-Acquired COVID-19 in a Patient on Extracorporeal Left Ventricular Assist Support

Highlights • First, this case underscores the rapidity of deterioration in COVID-19 patients once hypoxia starts. • Second, COVID-19 must be considered in hospitalized patients even when they are asymptomatic. • Lastly it emphasizes the importance of early advanced care planning
Importance : As the Coronavirus disease 2019 (COVID-19) pandemic accelerates, our hospitals have become overwhelmed. Objective : To describe detection of COVID-19 in asymptomatic hospitalized individuals awaiting advanced therapies for HF and the management of complications of COVID-19. Design : We present a unique case report of hospital-acquired COVID-19 in a patient on temporary mechanical circulatory support. Main Outcome : Despite intensive care and monitoring, he developed rapid progression of hypoxic respiratory failure which led to his death. Conclusion : This case highlights various considerations for a patient with temporary MCS. It illustrates the high risk for development of COVID-19 for vulnerable hospitalized patients.