The recent global pandemic of novel coronavirus disease 2019 (COVID-19) is increasingly alarming. As of 21 June 2020, there are more than 8.7 million cases worldwide, with 460 000 deaths. Nepal is not an exception to COVID-19 and is currently facing a challenge to prevent the spread of infection. The analysis of the detected cases, severity and outcomes of the cases within a country is important to have a clear picture of where the pandemic is heading and what measures should be taken to curb the infection before it becomes uncontrollable. We collected data regarding all the cases, recoveries and deaths attributed to COVID-19 in Nepal starting from the first case on 23 January to 21 June 2020. At present, COVID-19 has spread all over Nepal, with a rapid increase in the number of new cases and deaths, which is alarming in a low-income country with an inadequate healthcare system like Nepal. Although the government implemented early school closure and lockdown, the management to contain COVID-19 does not appear to be adequate. Understanding the current situation regarding COVID-19 in Nepal is important for providing a direction towards proper management of the disease.

COVID-19, caused by a deadly severe acute respiratory syndrome coronavirus (SARS-CoV)-2 has taken more than 0.7 million lives globally. In this manuscript, based on the official media releases of the Government of Nepal, we analyzed the clinical and epidemiological features of the patients who died as a result of COVID-19 infection in Nepal from January 23 to August 10, 2020. We found that nearly half of the deaths were among people less than 50 years of age and being female was highly likely to succumb to death. The majority of the deaths were associated with comorbidities, where most common comorbidities were cardiovascular diseases and diabetes followed by respiratory diseases. With approaching festive season and loosened lockdown, government and citizens need to be more cautious about the severity of the COVID-19 infection and take appropriate action.

Spinal cord injury after thoracic and thoracoabdominal aortic repair poses a real challenge to cardiovascular surgeons. However, with evolving surgical strategies, identification of predictors, and use of various adjuncts over the years, the incidence of spinal cord injury after thoracic/thoracoabdominal aortic repair has declined. Embracing a multimodality approach offers a good insight into combating this grave complication.

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