Surgical management of thoracic aortic emergency with pre- and postoperative COVID-19 disease

J Card Surg. 2020 Oct;35(10):2832-2834. doi: 10.1111/jocs.14865. Epub 2020 Jul 15.

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.

Keywords: COVID-19; aortic dissection; aortic surgery; intramural hematoma.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / epidemiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / epidemiology
  • Aortic Dissection / surgery*
  • Betacoronavirus*
  • COVID-19
  • Comorbidity
  • Coronavirus Infections / epidemiology*
  • Emergencies*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Postoperative Period
  • Preoperative Period
  • SARS-CoV-2
  • Tomography, X-Ray Computed
  • Vascular Surgical Procedures / methods*