Evidence map›Paper›PMID 36295518›Full record

ReviewMedicina (Kaunas, Lithuania)2022

Delayed Surgical Management of Acute Type A Aortic Dissection in a Patient with Recent COVID-19 Infection and Post-COVID-19 Bronchopneumonia-Case Report and Review of Literature.

Mircea Robu, Diana Romina Marian, Rasvan Vasile, Bogdan Radulescu, Alice Stegaru, Cristian Voica, Claudia Nica, Daniela Gheorghita, Ondin Zaharia, Antoniac Iulian and 4 more

Abstract readReviewCase Reports
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
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  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Mircea RobuDepartment of Cardiovascular Surgery, Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.
Diana Romina MarianDepartment of Cardiovascular Surgery, Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.
Rasvan VasileDepartment of Cardiovascular Surgery, Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.
Bogdan RadulescuDepartment of Cardiovascular Surgery, Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.
Alice StegaruAnesthesia and Intensive Care Department, Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania.
Cristian VoicaDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania.
Claudia NicaDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania.
Daniela GheorghitaFaculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania.ORCID 0000-0003-3660-8926
Ondin ZahariaFaculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Antoniac IulianFaculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania.ORCID 0000-0003-0112-3494
Angelica MoldovanDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania.
Victor PavelDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania.
Horatiu MoldovanDepartment of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania.ORCID 0000-0002-2241-279X
Vlad Anton IliescuDepartment of Cardiovascular Surgery, Prof. Dr. C.C. Iliescu Emergency Institute for Cardiovascular Diseases, 022322 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ever since it was first described in 1760, acute type A aortic dissection has created difficulties in its management. The recent COVID-19 pandemic revealed that extrapulmonary manifestations of this condition may occur, and recent reports suggested that aortic dissection may be amongst them since it shares a common physiopathology, that is, hyper-inflammatory syndrome. Cardiac surgery with cardiopulmonary bypass in the setting of COVID-19-positive patients carries a high risk of postoperative respiratory failure. While the vast majority accept that management of type A aortic dissection requires urgent surgery and central aortic therapy, there are some reports that advocate for delaying surgery. In this situation, the risk of aortic rupture must be balanced with the possible benefits of delaying urgent surgery. We present a case of acute type A dissection with COVID-19-associated bronchopneumonia successfully managed after delaying surgery for 6 days.

Indexed as

Aortic DissectionAortic RuptureBronchopneumoniaCOVID-19Acute DiseaseHumansPandemicsTreatment Outcomebronchopneumoniacardiopulmonary bypassCOVID-19malperfusion syndromerespiratory failuretype A aortic dissection

Identifiers

PMID36295518
PMCPMC9609154

What OpenQuestion holds

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Registered trials

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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.