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Impact of COVID-19 on aortic operations

Daniele Bissacco1, Marco Franchin2, Gabriele Piffaretti3

  • 1Vascular Surgery Unit, Istituto di Ricovero e Cura a Carattere Scientifico Ca Granda Ospedale Maggiore Policlinico, Via Sforza 35, 20122, Milan, Italy.

Seminars in Vascular Surgery
|June 19, 2021
PubMed

Insights

The COVID-19 pandemic significantly impacted vascular surgery, creating challenges in managing aortic diseases for both infected and non-infected patients. This review examines these impacts on vascular services and patient outcomes.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic necessitated significant adaptations in medical and surgical practices worldwide.
  • Vascular surgery faced unique challenges, including managing COVID-19-related vascular complications and ensuring care for non-COVID-19 aortic emergencies.
  • Operational changes were driven by infection control, patient segregation, and increased postoperative risks in COVID-19 patients.

Purpose of the Study:

  • To review the impact of the COVID-19 outbreak on aortic vascular surgery.
  • To analyze COVID-19-related vascular findings and outcomes.
  • To assess the effect on non-infectious aortic disease management.

Main Methods:

  • Systematic review of published literature.
  • Inclusion of case reports, case series, multicenter experiences, and expert opinions.
  • Analysis of intraoperative and postoperative outcomes.

Main Results:

  • COVID-19 presented dual challenges: direct vascular complications and indirect effects on non-COVID-19 aortic care.
  • Increased surgical complexity and postoperative morbidity were observed in COVID-19 positive patients.
  • Modified protocols were implemented to mitigate transmission risks and manage patient flow.

Conclusions:

  • The COVID-19 pandemic profoundly altered aortic vascular surgery practice and patient management.
  • Adapting services was crucial to address both COVID-19 complications and the ongoing needs of non-infectious aortic patients.
  • Future preparedness strategies should incorporate lessons learned from this global health crisis.

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