ABSTRACT
The impact of the coronavirus disease 2019 (COVID-19) pandemic in New York City (NYC) is dramatic. COVID-19 cases surged, hospitals expanded to meet capacity, and NYC remains the global epicenter of this pandemic. During this unprecedented time, a young woman with known Marfan syndrome presented with an acute complicated type B aortic dissection to our Aortic Center. Using the provisional extension to induce a complete attachment technique, we treated this patient and quickly discharged her the next day to decrease the risk of COVID-19 infection. Her progress was monitored using frequent phone calls and one office visit at two weeks.
Subject(s)
Aortic Aneurysm, Thoracic/surgery , Aortic Dissection/surgery , Blood Vessel Prosthesis Implantation/methods , Coronavirus Infections/epidemiology , Endovascular Procedures/methods , Pneumonia, Viral/epidemiology , Abdominal Pain/diagnosis , Abdominal Pain/etiology , Acute Disease , Adult , Aortic Dissection/diagnostic imaging , Aortic Dissection/etiology , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortic Aneurysm, Thoracic/etiology , COVID-19 , Chest Pain/diagnosis , Chest Pain/etiology , Coronavirus Infections/diagnosis , Cross Infection/prevention & control , Female , Follow-Up Studies , Humans , Length of Stay , Magnetic Resonance Angiography/methods , Marfan Syndrome/complications , Marfan Syndrome/diagnosis , New York City , Pandemics , Pneumonia, Viral/diagnosis , Severity of Illness Index , Treatment OutcomeABSTRACT
As of April 7, 2020, approximately 1,300,000 cases and 80,000 deaths related to coronavirus disease 2019 (COVID-19) have been reported in more than 180 countries/territories. Health care infrastructures and resources, particularly as it relates to the care of the most critically ill patients, are currently being strained globally. In this context, however, there has been little clinical guidance or information regarding life-threatening conditions requiring emergency operation that cannot be delayed. We present a case of acute type A aortic dissection in a patient with COVID-19 to highlight the clinical implications of a true emergent procedure during the COVID-19 outbreak.