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Surgical management of thoracic aortic emergency with pre- and postoperative COVID-19 disease
Makoto Mori1, Arnar Geirsson1, Prashanth Vallabhajosyula1
1Division of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut.
Insights
Emergent thoracic aortic operations during the COVID-19 pandemic are complex. Two patients with COVID-19 survived high-risk surgery, demonstrating successful outcomes are possible.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Critical Care Medicine
Background:
- The coronavirus disease 2019 (COVID-19) pandemic presents unique challenges for emergent surgical decision-making.
- Limited data and guidelines exist for managing thoracic aortic emergencies in COVID-19 patients.
Abstract:
The nuance of operative decision making for those in need of emergent operation during coronavirus disease 2019 (COVID-19) pandemic is increasingly complex in the absence of robust data or guidelines. We present two cases of thoracic aortic emergencies with COVID-19 disease who survived high-risk operations to highlight the potential for successful outcomes even in situations compounding patient disease, morbid operation, and the added risk associated with virulent disease in the pandemic time.
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