Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient

Frontiers in Cardiovascular Medicine

Amalia Laderchi¹  Silvia Romiti²  Ernesto Greco²  Mattia Vinciguerra²  Marco Totaro²  Mariangela Peruzzi³ 

[1] Department of Anaesthesiology, Sant'Andrea Hospital, Rome, Italy;Department of Clinical, Internal Medicine, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy;Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy;Mediterranea Cardiocentro, Naples, Italy;

关键词: CABG;    cardiopulmonary bypass;    COVID-19;    SARS-CoV-2;    coronary artery dissection;   

DOI  :  10.3389/fcvm.2020.620610

来源: Frontiers

【 摘 要 】

The coronavirus disease 2019 (COVID-19) pandemic outbreak, caused by severe acute respiratory syndrome coronavirus-2 (SARS-Cov-2) is affecting people worldwide representing a public health emergency. The effect of concomitant COVID-19 on patients who underwent cardiac surgery using cardiopulmonary bypass (CPB) is still undefined. Both SARS-Cov-2 infection and CPB can develop a cytokines storm and haemostatic disarrangements leading to acute respiratory distress syndrome (ARDS) and post-perfusion lung syndrome, respectively. SARS-Cov-2 infection may trigger and exacerbate post-inflammatory state after CPB resulting in higher risk of post-surgical adverse outcomes. International guidelines lack to provide standard management protocols for pre-operative COVID-19 patients requiring non-deferrable cardiac surgery intervention. We present a report of a successful coronary artery bypass grafting (CABG) emergency operation in a COVID-19 patient, who presented unstable angina and coronary artery dissection during cardiac catheterization and percutaneous transluminal coronary angioplasty (PTCA).

【 授权许可】

CC BY