Dismal outcome if delayed cardiac surgery because of coronavirus disease 2019.
Torbjörn IvertMagnus DalénPublished in: Interactive cardiovascular and thoracic surgery (2022)
The coronavirus disease 2019 (COVID-19) pandemic was a great burden for health care worldwide. We encountered 21 non-infected adult patients during 2020 who deferred to seek medical treatment since they thought that their difficulties to breathe were due to COVID-19. They were diagnosed late with cardiac disease with the indication for surgery. Deferred surgery for aortic stenosis was the cause of death in 1 patient. Long-standing not-treated endocarditis had caused severe aortic root pathology in 3 patients. Late-diagnosed ST-elevation myocardial infarction in 2 patients had caused papillary muscle and ventricular wall rupture. Eighteen of the patients finally underwent heart surgery at our tertiary care centre with early mortality of 22%. We conclude that late diagnosis of subjects requiring surgical treatment for heart disease was a risk for dismal outcomes during the COVID-19 pandemic.
Keyphrases
- coronavirus disease
- ejection fraction
- end stage renal disease
- healthcare
- newly diagnosed
- aortic stenosis
- minimally invasive
- chronic kidney disease
- left ventricular
- cardiac surgery
- prognostic factors
- peritoneal dialysis
- tertiary care
- coronary artery disease
- aortic valve replacement
- acute kidney injury
- social media
- cardiovascular events
- pulmonary arterial hypertension
- case report
- atrial fibrillation
- pulmonary artery
- health insurance
- catheter ablation
- affordable care act