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Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient
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 b...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7829248/ https://www.ncbi.nlm.nih.gov/pubmed/33505996 http://dx.doi.org/10.3389/fcvm.2020.620610 |
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author | Romiti, Silvia Totaro, Marco Laderchi, Amalia Peruzzi, Mariangela Vinciguerra, Mattia Greco, Ernesto |
author_facet | Romiti, Silvia Totaro, Marco Laderchi, Amalia Peruzzi, Mariangela Vinciguerra, Mattia Greco, Ernesto |
author_sort | Romiti, Silvia |
collection | PubMed |
description | 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). |
format | Online Article Text |
id | pubmed-7829248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78292482021-01-26 Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient Romiti, Silvia Totaro, Marco Laderchi, Amalia Peruzzi, Mariangela Vinciguerra, Mattia Greco, Ernesto Front Cardiovasc Med Cardiovascular Medicine 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). Frontiers Media S.A. 2021-01-11 /pmc/articles/PMC7829248/ /pubmed/33505996 http://dx.doi.org/10.3389/fcvm.2020.620610 Text en Copyright © 2021 Romiti, Totaro, Laderchi, Peruzzi, Vinciguerra and Greco. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Romiti, Silvia Totaro, Marco Laderchi, Amalia Peruzzi, Mariangela Vinciguerra, Mattia Greco, Ernesto Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient |
title | Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient |
title_full | Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient |
title_fullStr | Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient |
title_full_unstemmed | Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient |
title_short | Case Report: Emergency CABG Following Failure of PTCA in a COVID-19 Patient |
title_sort | case report: emergency cabg following failure of ptca in a covid-19 patient |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7829248/ https://www.ncbi.nlm.nih.gov/pubmed/33505996 http://dx.doi.org/10.3389/fcvm.2020.620610 |
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