Surgical Revascularization With Cardiopulmonary Bypass on a Patient With Severe COVID-19
| Autor: | Hannan Arana, Olivier Montandrau, Guillaume Dufour, Franck Ehooman, Karim Bouattour, Marc Beaussier, Wisalle Ouechani, Ivan Philip, Fehmi Kattou, Ismahane Hamdaoui, Marlène Cherruault |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Disease 030204 cardiovascular system & hematology medicine.disease_cause law.invention 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine law medicine Cardiopulmonary bypass Humans 030212 general & internal medicine Intensive care medicine Coronavirus Mechanical ventilation Cardiopulmonary Bypass SARS-CoV-2 business.industry COVID-19 Middle Aged medicine.disease Cardiac surgery Anesthesiology and Pain Medicine Viral pneumonia Concomitant Hemostasis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Seminars in Cardiothoracic and Vascular Anesthesia. 25:46-50 |
| ISSN: | 1940-5596 1089-2532 |
| DOI: | 10.1177/1089253220966515 |
| Popis: | The coronavirus disease 2019 (COVID-19) may lead to an acute respiratory distress syndrome by an inappropriate cytokine response and may predispose to a prothrombotic state through multiple pathways. Both can complicate the management of cardiac surgery with cardiopulmonary bypass, which is known to activate the hemostatic system and to exacerbate systemic inflammatory response. Little is known about the impact of cardiac surgery with cardiopulmonary bypass on viral pneumonia, particularly with the new coronavirus. In this article, we describe the case of a diabetic patient with COVID-19 and a concomitant 3-vessel disease with a formal indication for surgical revascularization, who unexpectedly presented with a high heparin resistance during cardiopulmonary bypass. Emphasis is placed on the importance of multidisciplinary team discussions before surgery, on the thorough preoperative assessment, and on the perioperative management, particularly regarding mechanical ventilation and anticoagulation. |
| Databáze: | OpenAIRE |
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