Related Experiment Video
Updated: Jul 17, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Cardiovascular surgery during the first wave of COVID-19 pandemic
Tolga Baş1, Deniz Çevirme1, Ahmet Zengin2
1Department of Cardiovascular Surgery, Kartal Koşuyolu High Specialized Training and Research Hospital, Istanbul, Türkiye.
Insights
Cardiovascular surgeries, including emergency and elective procedures, were evaluated during the COVID-19 pandemic. Experienced centers maintained high-quality care, demonstrating resilience in non-pandemic healthcare delivery.
Area of Science:
- Cardiovascular Surgery
- Infectious Disease Epidemiology
- Healthcare Management
Background:
- The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
- Evaluating the impact on cardiovascular surgery services was crucial for maintaining patient care.
- This study focuses on the initial phase of the pandemic.
Purpose of the Study:
- To assess primary outcomes and characteristics of cardiovascular surgeries during the early COVID-19 pandemic.
- To compare emergency versus elective/urgent cardiovascular surgical procedures.
- To understand the operational capacity of a referral center during a public health crisis.
Main Methods:
- Retrospective analysis of 209 patients undergoing cardiovascular surgery between March 11, 2020, and June 11, 2020.
- Classification of surgeries into emergency and elective/urgent categories.
- Recording and analysis of pre-, intra-, and postoperative patient data.
Main Results:
- A total of 230 cardiovascular surgeries were performed (156 elective/urgent, 74 emergency).
- Six COVID-19 positive patients required emergency surgery; two additional patients contracted COVID-19 postoperatively.
- Higher incidence of acute aortic dissection and peripheral vascular surgery in the emergency group; overall in-hospital mortality was 9.1%.
Conclusions:
- Referral centers with experienced teams can sustain high-quality non-pandemic healthcare during crises like the COVID-19 pandemic.
- The study highlights the adaptability and resilience of specialized cardiovascular surgical units.
- Maintaining routine care standards is achievable even amidst widespread public health emergencies.
Background:
In this study, we aimed to evaluate primary outcomes and main characteristics of emergency and elective/urgent cardiovascular surgeries which were performed in the first three months of the novel coronavirus disease 2019 (COVID-19) pandemic in our center.
Methods:
Between March 11th, 2020 and June 11th, 2020, a total of 209 patients (44 males, 165 females; mean age: 57.3±12.8 years; range, 20 to 80 years) who underwent emergency or elective/urgent surgery with cardiovascular pathologies were retrospectively analyzed. The patients were classified as emergency and elective/urgent according to the level of necessity of the surgical procedure at the time of hospital admission. Pre-, intra-, and postoperative data of the patients were recorded.
Results:
During the study period, 156 elective/urgent and 74 emergency cardiovascular surgeries were performed. Six COVID-19 (+) patients were operated emergently. The number of acute aortic dissection and peripheral vascular surgery was higher in the emergency group (p<0.05). Two patients who were COVID-19 (-) preoperatively became COVID-19 (+) in the postoperative period. In these patients, acute respiratory distress syndrome developed, and extracorporeal membrane oxygenation support was needed. Four patients who needed post-cardiotomy extracorporeal membrane oxygenation support due to low cardiac output were COVID-19 (-) both in the pre- and postoperative periods. The overall in-hospital mortality rate was 9.1%.
Conclusion:
Even during pandemic such as COVID-19, referral centers with experienced personnel can provide non-pandemic healthcare with a quality close to the daily routine.
Related Concept Videos
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Aneurysm IV: Nursing Management
Introduction Cardiac Emergencies
Cardiomyopathy V: Interprofessional Care
Cardiac Catheterization I: Pre-Procedure Overview
Peripheral Artery Disease V: Postoperative Nursing Management

