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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...

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Autores principales: Romiti, Silvia, Totaro, Marco, Laderchi, Amalia, Peruzzi, Mariangela, Vinciguerra, Mattia, Greco, Ernesto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
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).
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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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