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Type A aortic syndromes in COVID‐19 positive patients: Case series from a UK multicentre study
Author(s) -
LopezMarco Ana,
Harky Amer,
Malvindi Pietro G.,
Verdichizzo Danilo,
McPherson Iain,
Roman Marius,
Oo Aung,
Ohri Sunil
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15625
Subject(s) - medicine , covid-19 , series (stratigraphy) , medline , coronavirus infections , cardiology , virology , disease , paleontology , outbreak , political science , law , biology , infectious disease (medical specialty)
Objective The coronavirus disease (COVID‐19) increases the respiratory complications and carries a higher mortality in the immediate postoperative period. The aim of this study was to analyze the outcomes of patients with type A acute aortic syndromes (AAS) diagnosed with COVID‐19 in the perioperative period. Methods Retrospective analysis of prospectively collected data between March and August 2020 from 20 participating cardiac surgery centers in the United Kingdom. Results Among 122 patients who underwent emergency surgical repair for type A AAS at the participating centers, 3 patients (2.5%) tested positive for COVID‐19 in the preoperative screeing, and 4 cases turned to be positive in the postoperative period having been operated on an unknown COVID‐19 status. Another patient was diagnosed of COVID‐19 disease based on radiological features. These eight patients had increased postoperative complications, including respiratory failure, longer ventilation times, and Intensive Therapy Unit (ITU) stay and increased mortality when compared with COVID‐19 negative patients. Conclusion COVID‐19 disease in the perioperative period of type A AAS poses a challenge. Despite the increasing morbidity and mortality associated with the virus, the prognosis of the aortic disease is poorer and emergency surgery should not be contraindicated based on the COVID‐19 diagnosis alone.