Cardiac Surgery in the Time of Coronavirus

Giglio, Mauro Del; Tamagnini, Gabriele

doi:10.21470/1678-9741-2020-0161

Cited by 8 publications

(7 citation statements)

References 8 publications

(7 reference statements)

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“…However, nobody as in other countries 6 is able to estimate accurately the extent to which COVID-19 will affect the population in terms of rates of incidence, duration, and recovery. 7 On the other hand, the healthcare politics and strategies against the dissemination of COVID-19 or treatment of patients with COVID-19 seems to be successful so far with the decreasing number of cases by the end of April 2020 as well speculations through certain graphics indicating a possible end of the disease soon in our country. The novel corona virus has infected more than 200,000 people all around the world, affecting daily lives and changing the world into an economical burden.…”

Section: Discussionmentioning

confidence: 99%

“…It may even be worse in a postoperative cardiac case, as the postoperative period is an inflammatory state and if the patient is infected with corona virus, the course of the pulmonic viral infection may be drammatic. 7 The pandemic very shortly ended up in extreme shortage of available ICUs and ward beds, ventilators and other medical equipment, medications, blood and blood products, and also shortage of healthcare providers all around the world. 3,7 Obviously, everything is spared for the care of COVID-19-positive cases requiring hospitalisation.…”

Section: Discussionmentioning

confidence: 99%

“…7 The pandemic very shortly ended up in extreme shortage of available ICUs and ward beds, ventilators and other medical equipment, medications, blood and blood products, and also shortage of healthcare providers all around the world. 3,7 Obviously, everything is spared for the care of COVID-19-positive cases requiring hospitalisation. An additional issue rose with the risk of infection of the healthcare providers and non-COVID-19 patients requiring hospitalisation.…”

Section: Discussionmentioning

confidence: 99%

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Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

et al. 2020

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

et al. 2020

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“…The National Heart Center Indonesia is a referral center that accepts patients with more complex diagnoses and severe conditions, so it usually carries out more difficult and time-consuming surgeries, even without the availability of any special operating room facilities or experience in dealing with the current pandemic situation. Due to the lack of preparation by the health system, institutions must adapt whatever resources they have to prevent the spread of COVID-19 infection [ 12 ]. In Indonesia, every hospital has its own regulations to decide the criteria for performing surgery.…”

Section: Discussionmentioning

confidence: 99%

A 48-Year-Old Man at Low Risk for SARS-CoV-2 Infection Who Underwent Planned Elective Triple-Vessel Coronary Artery Bypass Graft Surgery at a National Heart Center in Indonesia Followed by a Fatal Case of COVID-19

et al. 2020

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“…Aortic and mitral valves The majority of the surgeons believe that surgery on the aortic/mitral valve in the present era should be considered in selected cases only [7]. Surgery is suggested in symptomatic severe aortic valve stenosis, left-sided endocarditis with a severe valve defect, symptomatic severe mitral valve insufficiency and/or signs of cardiac function impairment [12,21,22]. Mitral/aortic valve pathology with chronic heart failure can be deferred for 4 to 12 weeks [12].…”

Section: Prioritizing the Surgical Proceduresmentioning

confidence: 99%

An Indian study: impact of COVID-19 on clinical decision-making and consensus in cardiac surgery practice across the country

Idhrees¹,

Padmanabhan

Jagadeesan

et al. 2020

Indian J Thorac Cardiovasc Surg

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Purpose There is a paucity of evidence and guidelines to support clinical decisions in the present unprecedented time. We aimed to use the experience and consensus of the cardiac surgeons for clinical decisions until evidence-based guidelines are formed. Methods An electronic questionnaire was emailed to all the 1434 members of the Indian Association of Cardiovascular and Thoracic Surgery, starting from May 13, 2020, and the members were followed up with reminder emails. For a wider reach, social media like WhatsApp was also used to circulate the questionnaire. Participation was voluntary and anonymized. An effective consensus was considered when > 70% opted the same opinion, and moderate consensus when > 50% opted the same opinion. Results A total of 174 responses were obtained from the surgeons across the country. An effective consensus was obtained for the following: (i) emergency surgery in acute type A aortic dissection, (ii) urgent surgery in significant left main stem disease and mitral/aortic valves with pulmonary oedema, (iii) elective surgery in stable triple vessel disease and (iv) preoperative nasal swab examination for all patients undergoing surgery. Conclusion In the present era, where evidence is evolving and the country is entering a phase after lockdown, the surgeons face a dilemma in operating patients. These consensuses provide interim recommendation; still further evidence is published.

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Cardiac Surgery in the Time of Coronavirus

Cited by 8 publications

References 8 publications

Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

Congenital cardiac interventions during the peak phase of COVID-19 pandemics in the country in a pandemics hospital in Istanbul

A 48-Year-Old Man at Low Risk for SARS-CoV-2 Infection Who Underwent Planned Elective Triple-Vessel Coronary Artery Bypass Graft Surgery at a National Heart Center in Indonesia Followed by a Fatal Case of COVID-19

An Indian study: impact of COVID-19 on clinical decision-making and consensus in cardiac surgery practice across the country

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