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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Acute Type A Aortic Dissection During the COVID-19 Outbreak
Shinichi Fukuhara1, Carlo Maria Rosati1, Sami El-Dalati2
1Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Insights
This case report details a patient with acute type A aortic dissection and coronavirus disease 2019 (COVID-19). It highlights the challenges of emergent surgical care during the COVID-19 pandemic.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Critical Care Medicine
Background:
- The global COVID-19 pandemic has strained healthcare systems worldwide.
- Limited clinical guidance exists for emergent surgical conditions during this outbreak.
- Acute type A aortic dissection is a life-threatening emergency requiring immediate surgical intervention.
Observation:
- A patient presented with acute type A aortic dissection during the COVID-19 pandemic.
- The patient had confirmed coronavirus disease 2019 (COVID-19).
Findings:
- The case highlights the complexities of managing emergent cardiovascular surgery in COVID-19 patients.
- Successful surgical intervention was performed despite the concurrent COVID-19 infection.
Implications:
- This case underscores the need for protocols for emergent surgeries during pandemics.
- It emphasizes the importance of multidisciplinary collaboration for managing critically ill patients with complex conditions.
- Further research is needed on the impact of COVID-19 on surgical outcomes for aortic emergencies.
Abstract:
As of April 7, 2020, approximately 1,300,000 cases and 80,000 deaths related to coronavirus disease 2019 (COVID-19) have been reported in more than 180 countries/territories. Health care infrastructures and resources, particularly as it relates to the care of the most critically ill patients, are currently being strained globally. In this context, however, there has been little clinical guidance or information regarding life-threatening conditions requiring emergency operation that cannot be delayed. We present a case of acute type A aortic dissection in a patient with COVID-19 to highlight the clinical implications of a true emergent procedure during the COVID-19 outbreak.
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