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Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul.
Ugurlucan, Murat; Yildiz, Yahya; Oztas, Didem Melis; Coban, Senay; Beyaz, Metin Onur; Sari, Gizem; Ulukan, Mustafa Ozer; Karakaya, Atalay; Vatansever, Binay; Erkanli, Korhan; Meric, Mert; Unal, Orcun; Demirkol, Demet; Yozgat, Yilmaz; Saritas, Turkay; Erdem, Abdullah; Akdeniz, Celal; Turkoglu, Halil.
  • Ugurlucan M; Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
  • Yildiz Y; Istanbul Medipol University, Faculty of Medicine, Department of Anesthesiology, Istanbul, Turkey.
  • Oztas DM; Bagcilar Education and Research Hospital, Cardiovascular Surgery Clinic, Istanbul, Turkey.
  • Coban S; Istanbul Medipol University, Faculty of Medicine, Department of Pediatric Cardiology, Istanbul, Turkey.
  • Beyaz MO; Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
  • Sari G; Istanbul Medipol University, Faculty of Medicine, Department of Pediatric Cardiology, Istanbul, Turkey.
  • Ulukan MO; Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
  • Karakaya A; Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
  • Vatansever B; Istanbul Medipol University, Faculty of Medicine, Department of Pediatric Intensive Care, Istanbul, Turkey.
  • Erkanli K; Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
  • Meric M; Istanbul University, Istanbul Medical Faculty, Department of Cardiovascular Surgery, Istanbul, Turkey.
  • Unal O; Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Cardiovascular Surgery Clinic, Istanbul, Turkey.
  • Demirkol D; Istanbul University, Istanbul Medical Faculty, Department of Pediatric Intensive Care, Istanbul, Turkey.
  • Yozgat Y; Bezm-i Alem Vakif Hospital, Department of Pediatric Cardiology, Istanbul, Turkey.
  • Saritas T; Istanbul Medipol University, Faculty of Medicine, Department of Pediatric Cardiology, Istanbul, Turkey.
  • Erdem A; Istanbul Medipol University, Faculty of Medicine, Department of Pediatric Cardiology, Istanbul, Turkey.
  • Akdeniz C; Istanbul Medipol University, Faculty of Medicine, Department of Pediatric Cardiology, Istanbul, Turkey.
  • Turkoglu H; Istanbul Medipol University, Faculty of Medicine, Department of Cardiovascular Surgery, Istanbul, Turkey.
Cardiol Young ; 30(9): 1288-1296, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-1084349
ABSTRACT

INTRODUCTION:

In this report, we aim to present our algorithm and results of patients with congenital cardiac disorders who underwent surgical or interventional procedures during the peak phase of the pandemics in our country. PATIENTS AND

METHODS:

The first COVID-19 case was diagnosed in Turkey on 11 March, 2020, and the peak phase seemed to end by the end of April. All the patients whom were referred, treated, or previously operated but still at the hospital during the peak phase of COVID-19 pandemics in the country were included into this retrospective study. Patient's diagnosis, interventions, adverse events, and early post-procedural courses were studied.

RESULTS:

Thirty-one patients with various diagnoses of congenital cardiovascular disorders were retrospectively reviewed. Ages of the patients ranged between 2 days and 16 years. Seventeen cases were males and 14 cases were females. Elective cases were postponed. Priority was given to interventional procedures, and five cases were treated percutaneously. Palliative procedures were preferred in patients whom presumably would require long hospital stay. Corrective procedures were not hesitated in prioritised stable patients. Mortality occurred in one patient. Eight patients out of 151 ICU admissions were diagnosed with COVID-19, and they were transferred to COVID-19 ICU immediately. Three nurses whom also took care of the paediatric cases became infected with SARS-CoV-2; however, the children did not catch the disease.

CONCLUSION:

Mandatory and emergent congenital cardiac percutaneous and surgical procedures may be performed with similar postoperative risks as there are no pandemics with meticulous care and preventive measures.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Postoperative Complications / Cardiovascular Surgical Procedures / Infection Control / Coronavirus Infections / Pandemics / Heart Defects, Congenital Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child, preschool / Female / Humans / Male / Infant, Newborn Country/Region as subject: Asia Language: English Journal: Cardiol Young Journal subject: Vascular Diseases / Cardiology / Pediatrics Year: 2020 Document Type: Article Affiliation country: S1047951120002000

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Postoperative Complications / Cardiovascular Surgical Procedures / Infection Control / Coronavirus Infections / Pandemics / Heart Defects, Congenital Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adolescent / Child, preschool / Female / Humans / Male / Infant, Newborn Country/Region as subject: Asia Language: English Journal: Cardiol Young Journal subject: Vascular Diseases / Cardiology / Pediatrics Year: 2020 Document Type: Article Affiliation country: S1047951120002000