Impact of COVID‐19 on coronary artery surgery: Hard lessons learned

Abstract

Luis Alberto O. Dallan completed invitation and concept of the article. Luiz Augusto F. Lisboa completed drafting of the article. Luis Roberto P. Dallan competed critical revision of the article. Fabio B.

Nonelective coronary artery bypass graft outcomes are adversely impacted by Coronavirus disease 2019 infection, but not altered processes of care: A National COVID Cohort Collaborative and National Surgery Quality Improvement Program analysis

“…Although there have been no large analyses of outcomes for active COVID-19 patients undergoing CABG, several small case series of patients with active COVID have reported higher rates of morbidity and mortality. 9 , 10 , 27 , 28 , 29 , 30 In agreement with this analysis, active COVID-19 infection in patients undergoing urgent or emergent surgical procedures appears to confer an increased risk of perioperative morbidity and mortality. 31 , 32 , 33 , 34 Indeed, Knisely and colleagues' 33 recent examination of COVID-19 patients demonstrated that those undergoing urgent and emergent surgical procedures were at increased risk of severe complications regardless of preoperative American Society of Anesthesiologists category, with a reported risk ratio for death in active COVID-19 patients of 55.00 for those undergoing urgent surgical procedures.…”

Impact of the COVID-19 Outbreak on Coronary Artery Bypass Grafting in Brazil

“…As a consequence, there was a reduction in the number of surgical procedures performed worldwide. [19][20][21][22] In Brazil, it was no different; with the sudden increase in the number of COVID-19 cases, exceptional measures were taken, such as the opening of field hospitals and the hiring of clinical and intensive care unit beds, even using the private sector, to increase the capacity for patient care. 23 In the midst of this scenario of scarcity of vacancies, there were even greater complications due to the lack of essential materials for CABG, such as equipment for extracorporeal circulation and cannulas.…”

The Impact of the COVID-19 Pandemic on Surgical Activities: A Single-Center Experience and Literature Review

“…At the same time, the issued guidelines to avoid unnecessary attendance at hospitals have led patients to seek late medical help possibly awaiting later stages of the disease before attending the emergency department [ 6 , 9 , 13 , 26 , 31 , 52 , 55 ]. Their aggravated condition was associated with increased complication rates [ 18 , 31 , 43 ] and mortality rate [ 14 , 17 , 24 ]. Taking into account the inherent inability of the patients to evaluate the severity of their condition, it is crucial to inform the population about the nature of emergency surgical conditions as well as to prepare for an outbreak of surgical cases during the periods of remission of the pandemic.…”