COVID 19 infection requiring ECMO support after Fontan operation

The global spread of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in an unparalleled pandemic associated with coronavirus disease 2019 (COVID-19). We report a case of severe COVID-19-associated with acute respiratory distress syndrome (ARDS) in an adult with single-ventricle physiology after total cavopulmonary palliation that evolved to veno-arterial extracorporeal membrane oxygenation(ECMO). Adults with congenital heart disease represent a growing and complex population of patients who requires a proactive and tailored treatment in case of COVID-19 infection, especially those with single ventricle palliation as Fontan patients. Patients with pre-existing heart diseases constitute a high-risk population for development of a severe acute COVID-19 and for decompensation of cardiac conditions. To minimize SARS-CoV-2 complications, extensive preventive measures are essential for these patients.