Successful coronary artery bypass operation in a SARS-COV-2 infected patient with acute coronary syndrome

Srikanth Yandrapalli1, Howard A Cooper1, Ramin Malekan2

  • 1Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, New York.

Insights

This study details a successful coronary artery bypass grafting (CABG) in a patient with asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Careful preoperative screening ensured patient safety and favorable surgical outcomes during the COVID-19 pandemic.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Thoracic Surgery

Background:

  • The COVID-19 pandemic poses significant risks for patients undergoing emergent cardiothoracic surgery.
  • Postoperative COVID-19 diagnosis is associated with poor outcomes and high fatality rates.

Observation:

  • This case report focuses on a patient with acute coronary syndrome requiring urgent coronary artery bypass grafting (CABG).
  • The patient presented with asymptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

Findings:

  • A comprehensive screening strategy was implemented to detect subclinical SARS-CoV-2 infection preoperatively.
  • Following confirmation of the absence of active disease, the CABG procedure was successfully performed.
  • The patient experienced a favorable postoperative course with no COVID-19 related complications.

Implications:

  • Preoperative screening for SARS-CoV-2 is crucial for patients requiring urgent cardiothoracic surgery.
  • Careful perioperative management can lead to successful surgical outcomes even in patients with asymptomatic COVID-19.
  • This highlights the importance of balancing urgent surgical needs with infection control during the pandemic.

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