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Successful coronary artery bypass operation in a SARS-COV-2 infected patient with acute coronary syndrome.
Yandrapalli, Srikanth; Cooper, Howard A; Malekan, Ramin.
  • Yandrapalli S; Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, New York.
  • Cooper HA; Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, New York.
  • Malekan R; Division of Cardiothoracic Surgery, Westchester Medical Center and New York Medical College, Valhalla, New York.
J Card Surg ; 35(9): 2361-2363, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-640368
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is overwhelming healthcare resources and infrastructure worldwide. Earlier reports have demonstrated complicated postoperative courses and high fatality rates in patients undergoing emergent cardiothoracic surgery who were diagnosed postoperatively with COVID-19. These reports raise the possibility that active COVID-19 might precipitate a catastrophic pathophysiological response to infection in the postoperative period and lead to unfavorable surgical outcomes. Hence, it is imperative to screen patients with SARS-CoV-2 infection before surgery and to carefully monitor them in the postoperative period to identify any signs of active COVID-19. In this report, we present the successful outcome of coronary artery bypass grafting (CABG) operation in a patient with asymptomatic SARS-CoV-2 infection presenting with an acute coronary syndrome and requiring urgent surgical intervention. We employed a thorough strategy to identify subclinical COVID-19 disease, and after confirming the absence of active disease, proceeded with the CABG operation. The patient outcome was successful with the absence of any overt COVID-19 manifestations in the postoperative period.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coronary Artery Bypass / Acute Coronary Syndrome / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Coronary Artery Bypass / Acute Coronary Syndrome / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: J Card Surg Journal subject: Cardiology Year: 2020 Document Type: Article