ArticleThe Journal of thoracic and cardiovascular surgery2022
Cardiac surgery outcomes in patients with coronavirus disease 2019 (COVID-19): A case-series report.
Article in The Journal of thoracic and cardiovascular surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 36 citations in OpenAlex.
- Cardiac arrest during peri-anesthetic systemic induction and maintenance in valvular heart disease: proceed or abandon? Clinical validation of a modified cardiopulmonary bypass strategy in 21 patients.European journal of medical research · 2025Article
- The Impact of COVID-19 on Graft Vasculopathy and Postoperative Thromboembolism in CABG Patients: A Prospective Controlled Study.Cardiovascular toxicology · 2025Article
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- RETRACTED: Protective Effect of Vitamin D Supplementation on COVID-19-Related Intensive Care Hospitalization and Mortality: Definitive Evidence from Meta-Analysis and Trial Sequential Analysis.Pharmaceuticals (Basel, Switzerland) · 2023Review
- Narrative Review of New Insight into the Influence of the COVID-19 Pandemic on Cardiovascular Care.Medicina (Kaunas, Lithuania) · 2022Review
- Outcomes of COVID-19 infection occurring in the recovery period of the open-heart surgery.Turk gogus kalp damar cerrahisi dergisi · 2022Article
- Outcomes of urgent coronary artery bypass grafting in patients who have recently recovered from COVID-19 infection, with a median follow-up period of twelve months: our experience.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2022Article
- Safe Surgery During the COVID-19 Pandemic.Current obesity reports · 2022Review
- Bleeding Complications in Patients With Perioperative COVID-19 Infection Undergoing Cardiac Surgery: A Single-Center Matched Case-Control Study.Journal of cardiothoracic and vascular anesthesia · 2022Observational
- Commentary: Cardiac surgery and coronavirus disease 2019 (COVID-19): Lessons learned in Italy-the hard way.The Journal of thoracic and cardiovascular surgery · 2022Article
- Commentary: Urgent need for careful holistic assessment post-coronavirus disease 2019 (COVID-19) hospitalization: Crisis after crisis?The Journal of thoracic and cardiovascular surgery · 2022Article
- The Effect of COVID-19 on Adult Cardiac Surgery in the United States in 717 103 Patients.The Annals of thoracic surgery · 2022Article
- Stuck between a rock and a hard place: The clinical conundrum of managing cardiac surgical patients during the SARS-CoV-2 pandemic.Journal of cardiac surgery · 2022Article
- Infection with the SARS-CoV-2 Omicron variant in children with congenital heart disease: A case series study during Shanghai epidemic.Frontiers in cardiovascular medicine · 2022Article
- Commentary: SARS-CoV-2 and Esophagectomy for Esophageal Cancer: Timely Operations and Good Outcomes.Seminars in thoracic and cardiovascular surgery · 2022Article
- Impact of the COVID-19 pandemic on coronary artery bypass graft surgery in Brazil: A nationwide perspective.Journal of cardiac surgery · 2021Article
- Exploring the impact of the COVID-19 pandemic on cardiac surgical services: A scoping review.Journal of cardiac surgery · 2021Article
- Type A aortic syndromes in COVID-19 positive patients: Case series from a UK multicentre study.Journal of cardiac surgery · 2021Article
- Commentary: Whether it's the best of times or the worst of times, it's the only time we've got.JTCVS open · 2021Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe impact of coronavirus disease 2019 (COVID-19) on the postoperative course of patients after cardiac surgery is unknown. We experienced a major severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in our cardiac surgery unit, with several patients who tested positive early after surgery. Here we describe the characteristics, postoperative course, and laboratory findings of these patients, along with the fate of the health care workers. We also discuss how we reorganize and reallocate hospital resources to resume the surgical activity without further positive patients.
methodsAfter diagnosis of the first symptomatic patient, surgery was suspended. Nasopharyngeal swabs were performed in all patients and health care workers. Patients who were positive for SARS-CoV-2 were isolated and monitored throughout the in-hospital stay and followed up after discharged until death or clinical recovery.
resultsTwenty patients were found to be positive for SARS-CoV-2 sometime after cardiac surgery (mean age 69 ± 10.4 years; median European System for Cardiac Operative Risk Evaluation II score 3 [interquartile range, 5.1]); the median time from surgery to diagnosis was 15 days (interquartile range, 11). Among the patients, 18 had undergone cardiac surgery and 2 of them transcatheter aortic valve replacement. Overall mortality was 15%. Specific COVID-19-related symptoms were identified in 7 patients (35%). Among the 12 health care workers infected, 1 developed a bilateral mild-grade interstitial pneumonia.
conclusionsCOVID-19 infection after cardiac surgery, regardless the time of the onset, is a serious condition. The systemic inflammatory state that follows extracorporeal circulation may mask the typical COVID-19 laboratory findings, making the diagnosis more difficult. A strict reorganization of the hospital resources is necessary to safely resume the cardiac surgical activity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.