Coronary bypass surgery on the background of Covid-19. A clinical case

V. S. Ermakov, V. Kravchuk, O. Porembskaya, K. V. Kuznetsov, E. Knyazev, A. V. Belikov, T. V. Garpinchenko, I. Kazakova, K. Lobzhanidze, R. Deev, S. Sayganov
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Abstract

COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has had a huge impact on the health of the world's population. Due to the high contagiousness and rapid spread of the infection, on March 11, 2020, the World Health Organization (WHO) announced the beginning of a pandemic. Meanwhile, despite the COVID-19 pandemic, coronary heart disease is one of the most common diseases in the world and still ranks first in the structure of mortality. Currently, one of the optimal and most effective methods of surgical treatment of coronary heart disease with atherosclerotic lesions of the coronary bed is direct myocardial revascularization — coronary bypass surgery. However, cardiac surgical interventions during the COVID-19 pandemic are associated with certain risks. Active infection is a serious aggravating factor that can lead to the development of complications and death. This article presents a clinical case of the death of a 65‑year-old patient after elective coronary artery bypass grafting, where previously undiagnosed COVID-19 was detected in the early postoperative period.
新冠肺炎背景下的冠状动脉搭桥手术1例临床病例
由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的COVID-19对世界人口的健康产生了巨大影响。由于感染的高传染性和快速传播,2020年3月11日,世界卫生组织(世卫组织)宣布大流行开始。与此同时,尽管2019冠状病毒病大流行,冠心病仍然是世界上最常见的疾病之一,在死亡率结构中仍然排名第一。目前,直接心肌血运重建术-冠状动脉搭桥手术是冠心病合并冠状动脉床动脉粥样硬化病变的最佳、最有效的手术治疗方法之一。然而,在2019冠状病毒病大流行期间,心脏手术干预与某些风险相关。活动性感染是一个严重的加重因素,可导致并发症的发展和死亡。本文报道了一例65岁患者择期冠状动脉旁路移植术后死亡的临床病例,该患者在术后早期检测到先前未诊断的COVID-19。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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