CASE PRESENTATION
A 63-year-old male was admitted to our institution in May 2020 with shortness of breath and a history of ischemic cardiomyopathy resulting in New York Heart Association Class IV heart failure.  In the process of multi-disciplinary workup for consideration for heart transplant, he was found to be COVID-19 positive by PCR assay.  The test was repeated and confirmed positive.
He was relocated to the COVID-19 intensive care unit and isolated.  Chest radiograph demonstrated a dense left lower lobe pneumonia which was treated with antibiotics.  His heart failure was managed with dual inotropes and tailored diuresis.
After two weeks of isolation, he underwent repeat COVID-19 testing which was negative.  His respiratory symptoms had improved, and his chest radiography and CT scan showed resolution of the lower lobe infiltrate.  As a result, work-up was re-instituted for heart transplant candidacy.  Right heart catheterization was obtained which revealed a pulmonary wedge pressure of 33mmHg and a cardiac index of 1.44 L/min/m2 despite dual inotropic therapy.  The decision was made to place an intra-aortic balloon pump.  He was listed as UNOS Status 2 for heart transplantation.
A suitable donor organ became available 72 hours following the patient being listed for transplant.  He was brought to the operating room and underwent successful OHT.  His post-operative course was unremarkable.  He was discharged on post-operative day 17.