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Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient.
Romiti, Silvia; Totaro, Marco; Laderchi, Amalia; Peruzzi, Mariangela; Vinciguerra, Mattia; Greco, Ernesto.
  • Romiti S; Department of Clinical, Internal Medicine, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
  • Totaro M; Department of Clinical, Internal Medicine, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
  • Laderchi A; Department of Anaesthesiology, Sant'Andrea Hospital, Rome, Italy.
  • Peruzzi M; Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy.
  • Vinciguerra M; Mediterranea Cardiocentro, Naples, Italy.
  • Greco E; Department of Clinical, Internal Medicine, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Front Cardiovasc Med ; 7: 620610, 2020.
Article in English | MEDLINE | ID: covidwho-1052489
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic outbreak, caused by severe acute respiratory syndrome coronavirus-2 (SARS-Cov-2) is affecting people worldwide representing a public health emergency. The effect of concomitant COVID-19 on patients who underwent cardiac surgery using cardiopulmonary bypass (CPB) is still undefined. Both SARS-Cov-2 infection and CPB can develop a cytokines storm and haemostatic disarrangements leading to acute respiratory distress syndrome (ARDS) and post-perfusion lung syndrome, respectively. SARS-Cov-2 infection may trigger and exacerbate post-inflammatory state after CPB resulting in higher risk of post-surgical adverse outcomes. International guidelines lack to provide standard management protocols for pre-operative COVID-19 patients requiring non-deferrable cardiac surgery intervention. We present a report of a successful coronary artery bypass grafting (CABG) emergency operation in a COVID-19 patient, who presented unstable angina and coronary artery dissection during cardiac catheterization and percutaneous transluminal coronary angioplasty (PTCA).
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Topics: Long Covid Language: English Journal: Front Cardiovasc Med Year: 2020 Document Type: Article Affiliation country: Fcvm.2020.620610

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Topics: Long Covid Language: English Journal: Front Cardiovasc Med Year: 2020 Document Type: Article Affiliation country: Fcvm.2020.620610