The coronavirus disease 2019 (COVID-19) pandemic outbreak, caused by severe acute respiratory syndrome coronavirus-2 (SARS-Cov-2) is affecting people worldwide representing a public health emergency. The effect of concomitant COVID-19 on patients who underwent cardiac surgery using cardiopulmonary bypass (CPB) is still undefined. Both SARS-Cov-2 infection and CPB can develop a cytokines storm and haemostatic disarrangements leading to acute respiratory distress syndrome (ARDS) and post-perfusion lung syndrome, respectively. SARS-Cov-2 infection may trigger and exacerbate post-inflammatory state after CPB resulting in higher risk of post-surgical adverse outcomes. International guidelines lack to provide standard management protocols for pre-operative COVID-19 patients requiring non-deferrable cardiac surgery intervention. We present a report of a successful coronary artery bypass grafting (CABG) emergency operation in a COVID-19 patient, who presented unstable angina and coronary artery dissection during cardiac catheterization and percutaneous transluminal coronary angioplasty (PTCA).
【저자키워드】 COVID-19, SARS-CoV-2, cardiopulmonary bypass, CABG, coronary artery dissection, 【초록키워드】 coronavirus disease, ARDS, pandemic, Infection, Cardiopulmonary, lung, Intervention, adverse outcomes, outbreak, Patient, public health emergency, acute respiratory distress, Coronavirus-2, Cytokines storm, COVID-19 patient, acute respiratory syndrome, higher risk, syndrome, unstable angina, resulting, lack, develop, caused, representing, affecting, exacerbate, catheterization, grafting, management protocol, 【제목키워드】 Emergency, failure,