冠状动脉搭桥术并发术后冠状病毒感染——两种相似的表现,不同的结果。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Alexis Redding, Harideep Samanapally, Mike O Udoh, Jiapeng Huang, Mark S Slaughter, Siddharth Pahwa
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引用次数: 0

摘要

据报道,接受外科手术的被诊断为COVID-19感染的患者术后并发症和死亡率增加。当考虑心脏外科手术,特别是冠状动脉旁路移植术(CABG)时,这些发现是重要的,因为胸外科医生协会(STS)将大多数此类手术描述为“紧急”手术。此外,大多数心脏手术患者因COVID-19感染和死亡的风险增加,因为他们往往是老年、肥胖、高血压和糖尿病患者,并伴有严重的心脏或肺部疾病。本病例系列描述了两例CABG术后继续发展为COVID-19感染的患者的临床过程。我们的目的是说明临床表现的相似之处,但两名患者最终结果的差异,并假设差异的原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Coronary Artery Bypass Grafting complicated by post-operative coronavirus infection - two similar presentations with dissimilar outcomes.

Patients diagnosed with COVID-19 infection undergoing surgical procedures have been reported to have increased post-operative complications and mortality. These findings are important when considering cardiac surgical procedures, specifically coronary artery bypass grafting (CABG) during this pandemic, since the Society of Thoracic Surgeons (STS) describes most of these operations as 'urgent'. In addition, the majority of cardiac surgical patients are at increased risk of infection and death with COVID-19, as they are frequently of old age, obese, hypertensive, and diabetic, with severe cardiac or pulmonary diseases. This case series describes the clinical course following a CABG procedure in two patients that went on to develop COVID-19 infection post-operatively. We aim to illustrate the similarities in clinical presentation, but differences in eventual outcomes for both patients and hypothesize the reasons for the differences.

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