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Literature-based considerations regarding organizing and performing cardiac surgery against the backdrop of the coronavirus pandemic.
Juraszek, Andrzej; Kuriata, Jaroslaw; Kolsut, Piotr; Hryniewiecki, Tomasz; Rózewicz-Juraszek, Monika; Dziodzio, Tomasz; Kusmierczyk, Mariusz.
  • Juraszek A; Department of Cardiac Surgery and Transplantation, The Cardinal Stefan Wyszynski National Institute of Cardiology, Alpejska 42, 04-628, Warszawa, Poland. anderso@o2.pl.
  • Kuriata J; Department of Cardiac Surgery and Transplantation, The Cardinal Stefan Wyszynski National Institute of Cardiology, Alpejska 42, 04-628, Warszawa, Poland.
  • Kolsut P; Department of Cardiac Surgery and Transplantation, The Cardinal Stefan Wyszynski National Institute of Cardiology, Alpejska 42, 04-628, Warszawa, Poland.
  • Hryniewiecki T; Department of Valvular Heart Diseases, The Cardinal Stefan Wyszynski National Institute of Cardiology, Warsaw, Poland.
  • Rózewicz-Juraszek M; Department of Valvular Heart Diseases, The Cardinal Stefan Wyszynski National Institute of Cardiology, Warsaw, Poland.
  • Dziodzio T; Department of Surgery, Campus Charité-Mitte and Campus Virchow-Klinikum, Charité -Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany. tomasz.dziodzio@charite.de.
  • Kusmierczyk M; Department of Cardiac Surgery and Transplantation, The Cardinal Stefan Wyszynski National Institute of Cardiology, Alpejska 42, 04-628, Warszawa, Poland.
J Cardiothorac Surg ; 16(1): 73, 2021 Apr 09.
Article in English | MEDLINE | ID: covidwho-1175332
ABSTRACT

BACKGROUND:

The ongoing coronavirus disease 2019 (Covid-19) pandemic presents challenges for surgeons of all disciplines, including cardiologists. The volume of cardiac surgery cases has to comply with the mandatory constraints of healthcare capacities. The treatment of Covid-19-positive patients must also be considered. Unfortunately, no scientific evidence is available on this issue. Therefore, this study aimed to offer some consensus-based considerations, derived from available scientific papers, regarding the organization and performance of cardiac surgery against the backdrop of the Covid-19 pandemic.

METHODS:

Key recommendations were extracted from recent literature concerning cardiac surgery. RESULTSː Reducing elective cardiac procedures should be based on frequent clinical assessment of patients on the waiting list (every one or two weeks) and the current local status of the Covid-19 pandemic. Screening tests at admission for every patient are broadly recommended. Where appropriate, alternative treatment methods can be considered, including percutaneous techniques and minimally invasive surgery, if performed by experienced cardiac surgery teams.

CONCLUSIONS:

There is little evidence on the strategies to organize cardiac surgery in the Covid-19 pandemic. Most authors agree on reducing elective operations based on patients' clinical condition and the status of the Covid-19 pandemic. Admission screenings and the use of percutaneous or minimally invasive approaches should be preferred to reduce in-hospital stays.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Evidence-Based Medicine / Decision Making / SARS-CoV-2 / COVID-19 / Cardiac Surgical Procedures Type of study: Prognostic study Limits: Humans Language: English Journal: J Cardiothorac Surg Year: 2021 Document Type: Article Affiliation country: S13019-021-01419-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Evidence-Based Medicine / Decision Making / SARS-CoV-2 / COVID-19 / Cardiac Surgical Procedures Type of study: Prognostic study Limits: Humans Language: English Journal: J Cardiothorac Surg Year: 2021 Document Type: Article Affiliation country: S13019-021-01419-9