Management of COVID-19 Patient in Cardiac Surgery with Cardiopulmonary Bypass.
Vol 5 No 1 (2021), Original Articles
Vol 5 No 1 (2021)

Management of COVID-19 Patient in Cardiac Surgery with Cardiopulmonary Bypass.

Original Articles
https://doi.org/10.32391/ajtes.v5i1.177
Published January 20, 2021
Alfred Ibrahimi
Anesthesia and ICU service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Saimir Kuci
Anesthesia and ICU service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Ervin Bejko
Anesthesia and ICU Service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Stavri Llazo
Anesthesia and ICU service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Marsela Goga
Anesthesia and ICU Service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Esmerilda Bulku
Anesthesia and ICU service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Jonela Burimi
Anesthesia and ICU service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Selman Dumani
Cardiac Surgery Service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Ermal Likaj
Anesthesia and ICU Service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
Jacob Zeitani
Cardiac Surgery Service “German International” -Tirana, ALBANIA
Edvin Prifti
Cardiac Surgery Service, University Hospital Centre “Mother Theresa”, Tirana, ALBANIA
AJTES Vol 5, No 1, January 2021
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Keywords

COVID-19
Cardiac surgery
Impact
Cytokine storm

How to Cite

Ibrahimi, A., Kuci, S., Bejko, E., Llazo, S., Goga, M., Bulku, E., Burimi, J., Dumani, S., Likaj, E., Zeitani, J., & Prifti, E. (2021). Management of COVID-19 Patient in Cardiac Surgery with Cardiopulmonary Bypass. Albanian Journal of Trauma and Emergency Surgery, 5(1), 779-783. https://doi.org/10.32391/ajtes.v5i1.177
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Abstract

Introduction; The diagnosis of COVID-19 is quite challenging due to the inconsistent correlation between laboratory findings, radiological imaging, and the clinical picture and contact history of the patient. The patients who underwent cardiac surgery with cardiopulmonary bypass (CPB) face double risk because CBP triggers an intense inflammatory response and the leading cause of mortality in COVID-19 patients is “cytokine storm”. In our institution 15 confirmed cases operated on with open-heart surgery. 9 cases isolated CABG, 4 cases valvular combined with CABG, and 1 valvular disease.

Materials and method; All patients undergoing elective or urgent cardiac surgery at “Mother Theresa” ’s Hospital from 11 March to 30 November 2020 were included in this study. Patients diagnosed with COVID-19 infection via positive throat swab taken due to clinical suspicion postoperatively were reviewed. Patients characteristics, type of intervention, date of COVID-19 diagnosis.

Results: 9 patients (72%) normal recovery, no respiratory failure, only 3-5 days of fever (max 39,4). 3 of them a moderate respiratory failure. 3 patients with severe respiratory failure. Only 3 deaths (26,6%).

Recommendation: It's important to a preoperative screening for COVID-19 patients.

The outcome of cardiac surgical patients who contracted COVID-19 infection perioperatively is extremely poor. Aggressive respiratory assistance (early intubation), high doses of corticosteroids, and anticoagulation, better results.

https://doi.org/10.32391/ajtes.v5i1.177
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