Valve-in-valve transcatheter aortic valve replacement in a young patient with a suspected COVID-19 infection: a surgical dilemma in the era of the COVID-19 pandemic
| Autor: | Philip Gabriel, Robert Bauernschmitt, Ralf Sodian, Roman Gottardi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Eacts/122 Transcatheter aortic Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Aortic Valve Insufficiency Pneumonia Viral Case Report Computed tomography 030204 cardiovascular system & hematology law.invention TAVI Transcatheter Aortic Valve Replacement Betacoronavirus 03 medical and health sciences 0302 clinical medicine Valve replacement Aortic valve replacement law Cardiopulmonary bypass Humans Medicine Pandemics Valve in valve medicine.diagnostic_test SARS-CoV-2 business.industry COVID-19 General Medicine Middle Aged medicine.disease Intensive care unit Surgery 030228 respiratory system Coronavirus Infections Cardiology and Cardiovascular Medicine business Eacts/125 |
| Zdroj: | European Journal of Cardio-Thoracic Surgery European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery |
| ISSN: | 1873-734X 1010-7940 |
| DOI: | 10.1093/ejcts/ezaa193 |
| Popis: | We report on a case of a 57-year-old male patient, who underwent full root replacement in 2005 and now presented with high grade aortic insufficiency. On admission, the patient underwent a computed tomography scan which demonstrated interstitial infiltration in the left lung, highly suspicious for a COVID-19 infection that could not be confirmed by reverse transcription polymerase chain reaction (RT-PCR) testing. As there usually is a delay between infection and positive RT-PCR test results, the initial decision was to perform additional testing. However, the patient deteriorated quickly in spite of optimal medical therapy making urgent aortic valve replacement necessary. We decided to perform transcatheter aortic valve replacement to avoid cardiopulmonary bypass with shorter operative times, presumably shorter ventilation times and duration of intensive care unit stay, and thus a lesser risk for pulmonary complications. |
| Databáze: | OpenAIRE |
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