Abstract:

We report here two consecutive coronavirus disease-2019 (COVID-19) pneumonia in our post-heart transplant patients 13 years and 15 years after the transplantation during the pandemic. COVID-19 pneumonia were confirmed clinically and by thorax computed tomography in both of the cases. Due to severe symptoms and the high-risk condition of the patients, they were immediately admitted to the hospital and standard COVID-19 treatment protocol with oral favipravir and low molecular weight heparin were applied to both patients. None of them was needed to transfer to intensive care unit and responded immediately to medical treatment and observed in regular COVID-19 ward. No alterations in their immunosuppressive therapy was applied during their stay in the hospital and none of them had cytokine storm during their stay in the hospital. Echocardiography of both patients showed normal left and right ventricular functions with no myocardial depression or sign of pulmonary hypertension. Patients were discharged at fifth and tenth days of diagnosis, respectively, with COVID-19 negative polymerase chain reaction and asymptomatic status.

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