NYMC Faculty Publications

Tetralogy of Fallot Palliation in a COVID-19 Positive Neonate

Irim Salik, New York Medical College
Bhupen Mehta


  1. Although severe multisystemic manifestations have been defined in adults, there is limited data on the disease burden of COVID-19 in infants and children.

  2. We present the case of a 15-day-old infant who was born with Tetralogy of Fallot (TOF), and was found to be COVID-19 positive on day 7 of life.

  3. Among symptomatic children, 5% have dyspnea or hypoxemia, and 0.6% progress to acute respiratory distress or multi organ dysfunction.

  4. In the face of this sustained public health crisis, the concomitant occurrence of SARS-CoV-2 with pediatric congenital heart disease may become more common; guidance on appropriate management of patients is imperative to ensure patient safety.