Abstract
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.
Publisher
Baycinar Tibbi Yayincilik
Subject
General Engineering,Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery
Reference11 articles.
1. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature 2020;579:270-3. doi: 10.1038/ s41586-020-2012-7.
2. Lechien JR, Chiesa-Estomba CM, Place S, Van Laethem Y, Cabaraux P, Mat Q, et al. Clinical and epidemiological characteristics of 1420 European patients with mildto-moderate coronavirus disease 2019. J Intern Med 2020;288:335-44. doi: 10.1111/joim.13089.
3. Donatelli F, Miceli A, Glauber M, Cirri S, Maiello C, Coscioni E, et al. Adult cardiovascular surgery and the coronavirus disease 2019 (COVID-19) pandemic: The Italian experience. Interact Cardiovasc Thorac Surg 2020;31:755-62. doi: 10.1093/icvts/ivaa186.
4. Ferahman S, Dural AC, Aydin H, Sahbaz NA, Akarsu C, Peker KD, et al. Analysis of general surgery outpatient clinic admissions and operations during COVID-19 pandemic in Turkey: Reactions of 12728 patients. Bratisl Lek Listy 2020;121:475-80. doi: 10.4149/BLL_2020_086.
5. Iacobucci G. Covid-19: All non-urgent elective surgery is suspended for at least three months in England. BMJ 2020;368:m1106. doi: 10.1136/bmj.m1106.