A Case of Postoperative Covid-19 Infection After Cardiac Surgery: Lessons Learned

Authors

  • Giuseppe Rescigno, MD, FETCS Cardiothoracic Surgery Department, New Cross Hospital, Wolverhampton, United Kingdom
  • Michael S. Firstenberg, MD Department of Cardiothoracic and Vascular Surgery, The Medical Center of Aurora, Aurora, CO
  • Igor Rudez, MD, PhD Department of Cardiac and Transplant Surgery, Dubrava University Hospital, Zagreb, Croatia
  • Mauin Uddin, MD Cardiothoracic Surgery Department, New Cross Hospital, Wolverhampton, United Kingdom
  • Kumar Nagarajan, MD Cardiothoracic Surgery Department, New Cross Hospital, Wolverhampton, United Kingdom
  • Nicolas Nikolaidis, MD, FRCS Cardiothoracic Surgery Department, New Cross Hospital, Wolverhampton, United Kingdom

DOI:

https://doi.org/10.1532/hsf.3011

Keywords:

COVID-19, Cardiac Surgery

Abstract

While the focus of the medical community is on the management of COVID-19 and its associated complex presentations, it is critical to recognize that patients will continue to present with other medical problems that require urgent therapeutic interventions. There is growing concern that such interventions might have an impact on the natural history of COVID-19. We present a case of a patient who presented with unstable angina and multivessel coronary artery disease for which coronary artery bypass surgery was indicated and performed. Unfortunately, he succumbed to respiratory complications attributed to COVID-19. Our experience suggests concern about adverse outcomes in patients undergoing cardiac surgery who might be infected with COVID-19. Clearly, additional investigations and experience are needed.

References

Ball T, Wace C. January 31, 2020. Hunt for contacts of coronavirus-stricken pair in York. The Times. Available at: https://www.thetimes.co.uk/article/hunt-for-contacts-of-coronavirus-stricken-pair-in-york-dh363qf8k. Archived from the original on 4 February 2020. Retrieved 31 March 2020.

Coronavirus (COVID-19): latest information and advice. 2020. GOV.UK. Available at: https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public. Archived from the original on 8 March 2020. Retrieved 31 March 2020.

Horton R. 2020. Offline: COVID-19 and the NHS—“a national scandal.” Lancet 2020;395:1022.

Society of Cardiothoracic Surgery of Great Britain and Ireland (SCTS). March 23, 2020. Guidance document to UK cardiac and thoracic teams for procedures on patients with COVID-19. Available at: https://scts.org/wp-content/uploads/2020/03/SCTS-ACTACC-SCPS-Theatre-COVID-pathway-Final.pdf.

Society of Cardiothoracic Surgery of Great Britain and Ireland (SCTS). March 26, 2020. Collection of data for national audits during the COVID-19 emergency and recovery phases. Letter to membership. Available at: https://scts.org/scts-letter-to-the-membership-on-data-collection-for-national-audits-during-the-covid-19-outbreak-26th-march-2020/.

Published

2020-04-21

How to Cite

Rescigno, G., Firstenberg, M., Rudez, I., Uddin, M., Nagarajan, K., & Nikolaidis, N. (2020). A Case of Postoperative Covid-19 Infection After Cardiac Surgery: Lessons Learned. The Heart Surgery Forum, 23(2), E231-E233. https://doi.org/10.1532/hsf.3011

Issue

Section

Article