Surgical Revascularization With Cardiopulmonary Bypass on a Patient With Severe COVID-19

Author:

Montandrau Olivier1ORCID,Arana Hannan1,Ehooman Franck1,Bouattour Karim1,Cherruault Marlène1,Ouechani Wisalle1,Hamdaoui Ismahane1,Dufour Guillaume1,Kattou Fehmi1,Philip Ivan1,Beaussier Marc1

Affiliation:

1. Institut Mutualiste Montsouris, Paris, France

Abstract

The coronavirus disease 2019 (COVID-19) may lead to an acute respiratory distress syndrome by an inappropriate cytokine response and may predispose to a prothrombotic state through multiple pathways. Both can complicate the management of cardiac surgery with cardiopulmonary bypass, which is known to activate the hemostatic system and to exacerbate systemic inflammatory response. Little is known about the impact of cardiac surgery with cardiopulmonary bypass on viral pneumonia, particularly with the new coronavirus. In this article, we describe the case of a diabetic patient with COVID-19 and a concomitant 3-vessel disease with a formal indication for surgical revascularization, who unexpectedly presented with a high heparin resistance during cardiopulmonary bypass. Emphasis is placed on the importance of multidisciplinary team discussions before surgery, on the thorough preoperative assessment, and on the perioperative management, particularly regarding mechanical ventilation and anticoagulation.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Cardiology and Cardiovascular Medicine

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Coronary artery bypass grafting in active or recent COVID-19 infection: a systematic review;Indian Journal of Thoracic and Cardiovascular Surgery;2023-03-09

2. Heparin Resistance During Cardiopulmonary Bypass in Adult Cardiac Surgery;Journal of Cardiothoracic and Vascular Anesthesia;2022-11

3. Cardiac surgery on patients with COVID ‐19: a systematic review and meta‐analysis;ANZ Journal of Surgery;2022-04-03

4. A Change of Tide or the Beginning of the End: COVID-19;Seminars in Cardiothoracic and Vascular Anesthesia;2021-02-08

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